CMS Price Transparency Data

Vaginal delivery (full package)

Facility: St Joseph's University Medical Center Inc

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,870

about 1.3× the $2,214 Medicare rate · typically $1,749–$4,020

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,779

About the fair price

about $91 under the fair price · 1.3× Medicare

Medicare pays $2,214 Fair price $2,870 This hospital $2,779 Cash price $25,116 Hospital's list price $25,116

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 $813 Priciest $2,779

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 Vaginal delivery (full package) is about $2,870 (about 1.3× the $2,214 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $2,779, or about $25,116 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	$1,712 - $4,463	77%
Blue Cross Blue Shieldmajor	$2,109 - $6,881	95%
Aetnamajor	$1,112 - $12,558	50%
Cignamajor	$7,757 - $25,116	350%
Ambetter (Centene)	$2,417 - $3,625	109%
AmeriHealth	$2,417 - $15,991	109%
Clover Health	$2,417	109%
Fidelis Care	$1,812 - $5,026	82%
Health Net	$3,607 - $22,604	163%
MagnaCare	$17,581	794%
Oscar Health	$23,659	1068%
+ 4 smaller / regional plans	$1,770 - $7,786

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 25,116), 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: 59400.

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 59400.
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: Vaginal delivery (full package) at other NJ hospitals

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