CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Joseph's University Medical Center Inc

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$125
about 0.9× the $136 Medicare rate · typically $78–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$151
Above the fair price
about $26 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $125 This hospital $151 Cash price $570 Hospital's list price $570

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $151

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $125 (about 0.9× the $136 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $151, or about $570 in cash — above the fair price. Located in Paterson, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $125. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $69 - $365 51%
Blue Cross Blue Shieldmajor $91 - $429 67%
Aetnamajor $85 - $307 63%
Cignamajor $362 - $570 267%
Ambetter (Centene) $91 - $226 67%
AmeriHealth $91 - $363 67%
Clover Health $91 - $151 67%
Fidelis Care $69 - $158 51%
Health Net $155 - $513 114%
MagnaCare $399 294%
Oscar Health $537 396%
+ 4 smaller / regional plans $91 - $365
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals