CMS Price Transparency Data

X-ray, hip

Facility: St Joseph's University Medical Center Inc

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $56
Cash Discount Price: $165
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at St Joseph's University Medical Center Inc is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.63x the Medicare baseline. Located in 703 Main St, Paterson, NJ.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $165 (186%)

Insurance Median: $56 (63%)

Cash: $165 (186% of Medicare)

Ins. Median: $56 (63% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $109	10%
UnitedHealthcare	$9 - $130	10%
Blue Cross Blue Shield	$11 - $294	12%
Aetna	$12 - $211	13%
Ambetter / Centene	$12 - $155	13%
Amerihealth	$12 - $298	13%
Clover Health	$12 - $103	13%
Horizon New Jersey Total Care	$12 - $103	13%
Wellpoint	$12 - $103	13%
Multiplan	$18 - $351	20%
Private Healthcare Systems	$24 - $304	27%
Consumer Health Network	$28 - $421	31%
Horizon New Jersey Health	$32 - $140	36%
Cigna	$37 - $468	42%
Longevity Health Plan	$119	134%
Oxford	$130	146%
Magnacare	$328	369%
Oscar	$441	496%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $165.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Joseph's University Medical Center Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.