CMS Price Transparency Data

X-ray, chest (two views)

Facility: St Joseph's University Medical Center Inc

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $38
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at St Joseph's University Medical Center Inc is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.43x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $228 (256%)
Insurance Median: $38 (43%)
Cash: $228 (256% of Medicare)
Ins. Median: $38 (43% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $8 - $109 9%
UnitedHealthcare $8 - $130 9%
Aetna $11 - $211 12%
Ambetter / Centene $11 - $155 12%
Amerihealth $11 - $216 12%
Blue Cross Blue Shield $11 - $294 12%
Clover Health $11 - $103 12%
Horizon New Jersey Total Care $11 - $103 12%
Wellpoint $11 - $103 12%
Multiplan $16 - $255 18%
Private Healthcare Systems $23 - $221 26%
Consumer Health Network $27 - $306 30%
Horizon New Jersey Health $31 - $98 35%
Cigna $36 - $340 40%
Longevity Health Plan $119 134%
Oxford $130 146%
Magnacare $238 268%
Oscar $320 360%

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