CMS Price Transparency Data

CT scan, sinuses

Facility: St Joseph's University Medical Center Inc

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$160

about 1.5× the $107 Medicare rate · typically $108–$196

modeled estimate · not a bill or quote

What this hospital charges insurers

$130

Below the fair price — a good deal

about $30 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $160 This hospital $130 Cash price $3,224 Hospital's list price $3,224

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $118 Priciest $133

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $160 (about 1.5× the $107 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $130, or about $3,224 in cash — below the fair price — a good deal. Located in Paterson, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$32 - $573	30%
Blue Cross Blue Shieldmajor	$43 - $633	40%
Aetnamajor	$43 - $663	40%
Cignamajor	$3,224	3018%
Ambetter (Centene)	$43 - $186	40%
AmeriHealth	$43 - $2,053	40%
Clover Health	$43 - $146	40%
Fidelis Care	$32 - $645	30%
Health Net	$386 - $2,902	361%
MagnaCare	$2,257	2113%
Oscar Health	$3,037	2843%
+ 4 smaller / regional plans	$43 - $224

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,224), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm St Joseph's University Medical Center Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Joseph's University Medical Center Inc

Compare: CT scan, sinuses at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.