CMS Price Transparency Data

Electrical stimulation therapy

Facility: St Joseph's University Medical Center Inc

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $21
  • Cash Discount Price: $160
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at St Joseph's University Medical Center Inc is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.65x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$160

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)
Cash / Self-Pay: $160 (1261%)
Insurance Median: $21 (165%)
Cash: $160 (1261% of Medicare)
Ins. Median: $21 (165% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Fidelis Care of New Jersey $11 - $32 87%
UnitedHealthcare $11 - $343 87%
Aetna $14 - $33 110%
Ambetter / Centene $14 - $21 110%
Amerihealth $14 - $102 110%
Blue Cross Blue Shield $14 - $140 110%
Clover Health $14 110%
Horizon New Jersey Total Care $14 110%
Wellpoint $14 - $31 110%
Longevity Health Plan $16 126%
Multiplan $21 - $120 165%
Horizon New Jersey Health $65 512%
Private Healthcare Systems $104 820%
Magnacare $112 883%
Consumer Health Network $144 1135%
Oscar $151 1190%
Cigna $160 1261%
Oxford $316 2490%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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