CMS Price Transparency Data

X-ray, foot

Facility: St Joseph's University Medical Center Inc

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $45
  • Cash Discount Price: $512
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at St Joseph's University Medical Center Inc is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$512

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $512 (576%)
Insurance Median: $45 (51%)
Cash: $512 (576% of Medicare)
Ins. Median: $45 (51% 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 $7 - $178 8%
UnitedHealthcare $7 - $158 8%
Aetna $9 - $211 10%
Ambetter / Centene $9 - $155 10%
Amerihealth $9 - $567 10%
Blue Cross Blue Shield $9 - $294 10%
Clover Health $9 - $103 10%
Horizon New Jersey Total Care $9 - $103 10%
Wellpoint $9 - $175 10%
Multiplan $13 - $668 15%
Private Healthcare Systems $18 - $579 20%
Horizon New Jersey Health $24 - $101 27%
Cigna $28 - $891 31%
Consumer Health Network $40 - $802 45%
Longevity Health Plan $119 134%
Oxford $130 146%
Magnacare $358 - $624 403%
Oscar $482 - $839 542%

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