How many shoppable procedure prices are published for St Joseph's University Medical Center Inc?

St Joseph's University Medical Center Inc in Paterson, NJ currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Joseph's University Medical Center Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Joseph's University Medical Center Inc's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is St Joseph's University Medical Center Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns St Joseph's University Medical Center Inc an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 681 Beds · urban Updated: 2026-04-24

St Joseph's University Medical Center Inc

703 Main St, Paterson, NJ 07503 · 141 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness51

Price Logic89

Peer Alignment64

Clean Billing91

Real Cash Discount9

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St Joseph's University Medical Center Inc prices routine shoppable procedures near 0.8× Medicare (p50 0.98×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.11×, +13% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#7 of 52 in NJ · 11th State Percentile#1,177 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 8% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (58/100 safety score) with 58% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.98× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.6×) & laboratory (2.8×) services average 1.75× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (0.98× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 10.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.75× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail

Q25 0.66× · Q50 0.98× · Q75 1.11×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

8% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 58/100Elevated

Procedure Prices at St Joseph's University Medical Center Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$58,977	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$36,077	$19,087	1.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$35,846	$19,432	1.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$33,071	$17,936	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$17,386	$8,223	2.1×
C-section delivery (full package) CPT Code: `59510`	$8,602	$3,101	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$25,116	$2,779	$2,680	1.0×
Trauma team activation HCPCS Code: `G0390`	$11,845	$2,748	$1,453	unverified
Total knee replacement CPT Code: `27447`	$4,570	$2,674	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$2,288	$2,288	$13,413	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,180	$1,274	$2,540	0.5×
Bunion correction surgery CPT Code: `28296`	$3,216	$1,235	$3,446	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,243	$1,238	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,847	$1,120	$3,372	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$839	$855	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$4,547	$849	$1,256	0.7×
Inguinal hernia repair CPT Code: `49505`	$1,748	$860	$3,629	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$8,569	$784	$1,021	0.8×
Breast lump removal CPT Code: `19120`	$8,960	$808	$3,875	0.2×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$760	$269	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$3,615	$623	$987	0.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$608	$364	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$565	$257	2.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$413	$406	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$322	$322	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,716	$342	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,662	$360	$511	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$258	$343	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$485	$211	$185	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$5,074	$233	$369	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,281	$248	$981	0.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$592	$205	$181	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,258	$215	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,868	$206	$303	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$4,606	$222	$343	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,462	$223	$583	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,158	$196	$258	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$4,687	$217	$338	0.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$220	$157	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$570	$151	$123	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,206	$163	$148	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,759	$160	$151	1.1×
Family therapy session CPT Code: `90847`	$731	$175	$173	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$3,515	$168	$242	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$1,025	$118	$123	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$878	$124	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,514	$124	$134	0.9×
Ultrasound, pelvis CPT Code: `76856`	$767	$120	$130	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$540	$137	$166	0.8×
CT scan, pelvis CPT Code: `72192`	$2,397	$130	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$3,224	$130	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$3,802	$130	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,335	$130	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,484	$130	$169	0.8×
Neurobehavioral status check CPT Code: `96116`	$1,099	$136	$231	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$466	$109	$86	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$246	$106	$87	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$457	$131	$110	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$467	$84	$86	1.0×
Care planning with family CPT Code: `90887`	$95	$95	$107	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$665	$98	$126	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,872	$121	$160	0.8×
Blood transfusion CPT Code: `36430`	$2,297	$80	$498	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,819	$389	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$651	$270	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$376	$140	$111	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$562	$141	$140	1.0×
Drug screening test HCPCS Code: `G0480`	$396	$103	$116	0.9×
Blood antibody screen CPT Code: `86850`	$219	$62	$46	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$120	$56	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$120	$56	$49	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$122	$44	$39	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$37	$35	1.1×
Orthotic fitting and training CPT Code: `97760`	$219	$52	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$203	$56	$56	1.0×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$69	$88	0.8×
Review of medical records for care CPT Code: `90889`	$144	$76	$114	0.7×
X-ray, lower back CPT Code: `72110`	$406	$61	$112	0.5×
Blood test, vitamin D CPT Code: `82306`	$234	$34	$31	1.1×
Group therapy session CPT Code: `90853`	$436	$54	$100	0.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$167	$24	$20	1.2×
X-ray, hip CPT Code: `73502`	$165	$46	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$137	$45	$93	0.5×
X-ray, hand CPT Code: `73130`	$496	$44	$93	0.5×
X-ray, ankle CPT Code: `73610`	$504	$42	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$405	$39	$92	0.4×
X-ray, foot CPT Code: `73630`	$512	$39	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$228	$33	$93	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$135	$7	$6	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$160	$16	$14	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$101	$37	$33	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$323	$38	$38	1.0×
Prosthetic fitting and training CPT Code: `97761`	$200	$45	$45	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$274	$39	$40	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$391	$37	$38	1.0×
Culture, bacterial CPT Code: `87070`	$153	$10	$9	1.1×
Culture, blood CPT Code: `87040`	$232	$12	$11	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$94	$26	$25	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$111	$37	$37	1.0×
Physical therapy (gait training) CPT Code: `97116`	$245	$32	$33	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$253	$36	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$373	$33	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$257	$31	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$68	$5	$5	1.0×
Speech therapy (group session) CPT Code: `92508`	$211	$27	$27	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$58	$23	$25	0.9×
Psychological testing evaluation CPT Code: `96136`	$313	$48	$128	0.4×
Psychological testing by technician CPT Code: `96138`	$798	$61	$395	0.2×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$13	$16	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$30	$30	$49	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	$453	$30	$65	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$395	$20	$64	0.3×
X-ray, pelvis CPT Code: `72170`	$292	$32	$110	0.3×
Mental health services (assessment) HCPCS Code: `H0031`	$112	$40	$140	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$76	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$72	$5	$4	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$155	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$67	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$54	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$256	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$207	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$405	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$267	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$161	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$221	$19	$18	1.1×
Blood test, liver function panel CPT Code: `80076`	$174	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$97	$7	$7	1.0×
Blood test, lipase CPT Code: `83690`	$139	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$61	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$76	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$56	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$151	$8	$8	1.0×
Behavioral health living support HCPCS Code: `H2019`	$44	$12	$34	0.4×
X-ray, chest (single view) CPT Code: `71045`	$216	$23	$92	0.3×
Behavioral health day program HCPCS Code: `H2012`	—	$23	$100	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$605	$29	$201	0.1×
Community mental health services HCPCS Code: `H0038`	—	$2	$16	0.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$233	$26	$19	unverified
Hepatitis C antibody test CPT Code: `86803`	$245	$20	$15	unverified

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.8%

Audit a Bill or Quote at St Joseph's University Medical Center Inc (Zero PHI Required)

CMS CCN: 310019

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $58,977

1. Amount on Your Bill or Quote ($) Pre-filled with St Joseph's University Medical Center Inc’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $26,653 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $26,653

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.8% of gross = $26,653).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Joseph's University Medical Center Inc's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$110,770 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($141,545) is $110,770 above the denoised Fair BaseRate ($30,775) and 6.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (18.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite58/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait224 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Joseph's University Medical Center Inc. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-26·administrative_or_closure
Closure Notice
Recorded
2025-01-22·cap_corrective_action
CAP Request
Recorded
2024-10-09·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,518 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Joseph's University Medical Center Inc.

Price Index: 1.03× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-49.8%

Cigna

+83.4%

Oscar Health

+186.0%

Median Household Income$87,137U.S. Census ACS

Local Uninsured Share12.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 63/100 · Caution CMS CCN 310019

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 310019) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-24

Validated Rate Rows8,693 (CMS v3.0.0)

File Integrity DigestVerified · CCN 310019

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy