CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Joseph's University Medical Center Inc

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,183
about 1.5× the $23,504 Medicare rate · typically $26,020–$61,331
modeled estimate · not a bill or quote
What this hospital charges insurers
$58,977
Above the fair price
about $24,794 over the fair price · 2.5× Medicare
Medicare pays $23,504 Fair price $34,183 This hospital $58,977

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 $24,753 Priciest $58,977

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,183 (about 1.5× the $23,504 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $58,977 — 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 $34,183. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $37,051 - $99,813 158%
Blue Cross Blue Shieldmajor $37,051 - $140,057 158%
Aetnamajor $37,051 - $108,999 158%
Ambetter (Centene) $55,576 236%
AmeriHealth $37,051 - $58,977 158%
Clover Health $37,606 160%
Fidelis Care $38,903 166%
MagnaCare $74,516 317%
+ 3 smaller / regional plans $37,051 - $91,950

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.

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Facility Profile & Credentials

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