CMS Price Transparency Data

MRI, brain (no contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $283
  • Cash Discount Price: $4,606
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at St Joseph's University Medical Center Inc is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,606. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$4,606

Average discount available for prompt cash payment at this facility.

Insurance Median
$283

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $4,606 (1889%)
Insurance Median: $283 (116%)
Cash: $4,606 (1889% of Medicare)
Ins. Median: $283 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $55 - $922 23%
UnitedHealthcare $55 - $818 23%
Aetna $74 - $2,112 30%
Ambetter / Centene $74 - $425 30%
Amerihealth $74 - $2,933 30%
Clover Health $74 - $283 30%
Horizon New Jersey Total Care $74 - $283 30%
Wellpoint $74 - $905 30%
Blue Cross Blue Shield $81 - $964 33%
Multiplan $111 - $3,454 46%
Longevity Health Plan $326 134%
Oxford $350 144%
Consumer Health Network $464 - $4,145 190%
Horizon New Jersey Health $538 221%
Private Healthcare Systems $2,994 1228%
Magnacare $3,224 1323%
Oscar $4,339 1780%
Cigna $4,606 1889%

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