CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $208
  • Cash Discount Price: $4,158
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Joseph's University Medical Center Inc is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,158. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$4,158

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $4,158 (2320%)
Insurance Median: $208 (116%)
Cash: $4,158 (2320% of Medicare)
Ins. Median: $208 (116% 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.

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 $48 - $832 27%
UnitedHealthcare $48 - $739 27%
Aetna $64 - $855 36%
Ambetter / Centene $64 - $313 36%
Amerihealth $64 - $2,647 36%
Clover Health $64 - $208 36%
Horizon New Jersey Total Care $64 - $208 36%
Wellpoint $64 - $817 36%
Blue Cross Blue Shield $70 - $593 39%
Multiplan $95 - $3,118 53%
Longevity Health Plan $240 134%
Oxford $271 151%
Horizon New Jersey Health $280 156%
Consumer Health Network $541 - $3,742 302%
Private Healthcare Systems $2,703 1508%
Magnacare $2,911 1624%
Oscar $3,917 2186%
Cigna $4,158 2320%

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