CMS Price Transparency Data

Mental health services (therapy)

Facility: St Joseph's University Medical Center Inc

Billing Code: H0032 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0032
Insurance Median: $204
Cash Discount Price: $453
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Mental health services (therapy) at St Joseph's University Medical Center Inc is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $453. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 703 Main St, Paterson, NJ.

Cash / Self-Pay

$453

Average discount available for prompt cash payment at this facility.

Insurance Median

$204

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$29 - $226	N/A
Blue Cross Blue Shield	$31 - $395	N/A
UnitedHealthcare	$80 - $290	N/A
Amerihealth	$89 - $288	N/A
Wellpoint	$89	N/A
Fidelis Care of New Jersey	$91 - $133	N/A
Ambetter / Centene	$136	N/A
Horizon New Jersey Health	$140	N/A
Oxford	$290	N/A
Private Healthcare Systems	$294	N/A
Magnacare	$317	N/A
Multiplan	$340	N/A
Consumer Health Network	$408	N/A
Longevity Health Plan	$408	N/A
Oscar	$427	N/A
Cigna	$453	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $453.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H0032.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Joseph's University Medical Center Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code H0032.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.