CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Joseph's University Medical Center Inc

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$129

about 1.2× the $107 Medicare rate · typically $105–$163

modeled estimate · not a bill or quote

What this hospital charges insurers

$120

About the fair price

about $9 under the fair price · 1.1× Medicare

Medicare pays $107 Fair price $129 This hospital $120 Cash price $767 Hospital's list price $767

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NJ hospitals compared.

Cheapest $66 Priciest $123

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 Ultrasound, pelvis is about $129 (about 1.2× the $107 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $120, or about $767 in cash — about the fair price. Located in Paterson, NJ.

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	$26 - $917	24%
Blue Cross Blue Shieldmajor	$35 - $354	33%
Aetnamajor	$35 - $716	33%
Cignamajor	$103 - $1,431	96%
Ambetter (Centene)	$35 - $186	33%
AmeriHealth	$35 - $911	33%
Clover Health	$35 - $124	33%
Fidelis Care	$26 - $286	24%
Health Net	$153 - $1,288	143%
MagnaCare	$1,002	938%
Oscar Health	$1,348	1262%
+ 4 smaller / regional plans	$35 - $917

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 767), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm St Joseph's University Medical Center Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Joseph's University Medical Center Inc

Compare: Ultrasound, pelvis at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.