CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $283
  • Cash Discount Price: $4,687
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (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 $4,687. 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
$4,687

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: $4,687 (1923%)
Insurance Median: $283 (116%)
Cash: $4,687 (1923% 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 $56 - $938 23%
UnitedHealthcare $56 - $833 23%
Aetna $75 - $2,112 31%
Ambetter / Centene $75 - $425 31%
Amerihealth $75 - $2,984 31%
Clover Health $75 - $283 31%
Horizon New Jersey Total Care $75 - $283 31%
Wellpoint $75 - $921 31%
Blue Cross Blue Shield $82 - $869 34%
Multiplan $112 - $3,515 46%
Longevity Health Plan $326 134%
Oxford $350 144%
Consumer Health Network $464 - $4,218 190%
Horizon New Jersey Health $538 221%
Private Healthcare Systems $3,047 1250%
Magnacare $3,281 1346%
Oscar $4,415 1811%
Cigna $4,687 1923%

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