CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Mary's General Hospital

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$281

about 1.6× the $179 Medicare rate · typically $216–$331

modeled estimate · not a bill or quote

What this hospital charges insurers

$268

About the fair price

about $13 under the fair price · 1.5× Medicare

Medicare pays $179 Fair price $281 This hospital $268 Cash price $207 Hospital's list price $2,542

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $172 Priciest $268

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with and without contrast) is about $281 (about 1.6× the $179 Medicare rate). St Mary's General Hospital charges insurers about $268, or about $207 in cash — about the fair price. Located in Passaic, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$179 - $268	100%
Blue Cross Blue Shieldmajor	$207	116%
Aetnamajor	$207 - $440	116%
Cignamajor	$305	170%
Humanamajor	$166	93%
AmeriHealth	$207 - $526	116%
Clover Health	$207	116%
WellCare	$207 - $280	116%
+ 4 smaller / regional plans	$207 - $368

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 207), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm St Mary's General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Mary's General Hospital

Compare: CT scan, head (with and without contrast) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.