CMS Price Transparency Data

X-ray, pelvis

Facility: St Joseph's University Medical Center Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $33
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at St Joseph's University Medical Center Inc is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.31x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $292 (273%)
Insurance Median: $33 (31%)
Cash: $292 (273% of Medicare)
Ins. Median: $33 (31% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 - $130 7%
UnitedHealthcare $7 - $160 7%
Aetna $9 - $253 8%
Ambetter / Centene $9 - $186 8%
Amerihealth $9 - $353 8%
Clover Health $9 - $124 8%
Horizon New Jersey Total Care $9 - $124 8%
Wellpoint $9 - $124 8%
Blue Cross Blue Shield $10 - $354 9%
Multiplan $14 - $416 13%
Private Healthcare Systems $19 - $361 18%
Horizon New Jersey Health $25 - $27 23%
Cigna $29 - $555 27%
Consumer Health Network $39 - $500 37%
Longevity Health Plan $143 134%
Oxford $160 150%
Magnacare $388 363%
Oscar $523 490%

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