CMS Price Transparency Data

Family therapy session

Facility: St Joseph's University Medical Center Inc

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $211
  • Cash Discount Price: $731
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Family therapy session at St Joseph's University Medical Center Inc is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$731

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $731 (403%)
Insurance Median: $211 (116%)
Cash: $731 (403% of Medicare)
Ins. Median: $211 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 $83 - $221 46%
UnitedHealthcare $83 - $468 46%
Aetna $110 - $430 61%
Ambetter / Centene $110 - $316 61%
Amerihealth $110 - $465 61%
Clover Health $110 - $211 61%
Horizon New Jersey Total Care $110 - $211 61%
Wellpoint $110 - $211 61%
Blue Cross Blue Shield $115 - $600 63%
Multiplan $165 - $548 91%
Amerihealth Behavioral Health $174 - $246 96%
Horizon New Jersey Health $227 - $311 125%
Private Healthcare Systems $238 - $475 131%
Longevity Health Plan $242 133%
Consumer Health Network $274 - $658 151%
Cigna $366 - $731 202%
Oxford $468 258%
Magnacare $512 282%
Oscar $689 380%

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