CMS Price Transparency Data

Diagnostic procedure preparation

Facility: St Joseph's University Medical Center Inc

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.0× the $40 Medicare rate · typically $14–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $40 Fair price $39 This hospital $37

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 7 of 8 other NJ hospitals charge less.

Cheapest $17 Priciest $38

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

A fair price for a Diagnostic procedure preparation is about $39 (about 1.0× the $40 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $37 — about the fair price. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $11 - $45 27%
Blue Cross Blue Shieldmajor $15 - $128 37%
Aetnamajor $15 - $92 37%
Ambetter (Centene) $15 - $67 37%
AmeriHealth $15 - $52 37%
Clover Health $15 - $45 37%
Fidelis Care $11 - $47 27%
+ 4 smaller / regional plans $15 - $52
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals