CMS Price Transparency Data

MRI, knee or other leg joint

Facility: St Joseph's University Medical Center Inc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $326
  • Cash Discount Price: $5,074
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at St Joseph's University Medical Center Inc is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,074. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.34x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$5,074

Average discount available for prompt cash payment at this facility.

Insurance Median
$326

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: $5,074 (2081%)
Insurance Median: $326 (134%)
Cash: $5,074 (2081% of Medicare)
Ins. Median: $326 (134% 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 $51 - $1,289 21%
UnitedHealthcare $51 - $1,145 21%
Aetna $68 - $2,112 28%
Ambetter / Centene $68 - $425 28%
Amerihealth $68 - $4,102 28%
Clover Health $68 - $283 28%
Horizon New Jersey Total Care $68 - $283 28%
Wellpoint $68 - $1,265 28%
Blue Cross Blue Shield $75 - $927 31%
Multiplan $103 - $4,832 42%
Longevity Health Plan $326 134%
Oxford $350 144%
Consumer Health Network $464 - $5,799 190%
Horizon New Jersey Health $538 221%
Private Healthcare Systems $2,408 - $4,188 988%
Magnacare $2,593 - $4,510 1064%
Oscar $3,489 - $6,069 1431%
Cigna $3,704 - $6,443 1519%

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