CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Clara Maass Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $337
Cash Discount Price: $584
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Clara Maass Medical Center is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $584. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.88x the Medicare baseline. Located in One Clara Maass Drive, Belleville, NJ.

Cash / Self-Pay

$584

Average discount available for prompt cash payment at this facility.

Insurance Median

$337

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $584 (326%)

Insurance Median: $337 (188%)

Cash: $584 (326% of Medicare)

Ins. Median: $337 (188% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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
Aetna	$200 - $409	112%
Blue Cross Blue Shield	$200 - $2,801	112%
Clover Health	$200	112%
Fidelis Care	$200 - $381	112%
Humana	$200	112%
Wellpoint	$200 - $1,672	112%
UnitedHealthcare	$204 - $374	114%
Cigna	$221 - $296	123%
Emblem Health	$350	195%
Wellcare	$397	222%
Amerihealth	$457	255%
Qualcare Inc	$726 - $759	405%
First Health	$1,760	982%

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 $584.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clara Maass Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.