CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Joseph's University Medical Center Inc

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $208
  • Cash Discount Price: $3,515
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with 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 $3,515. 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
$3,515

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: $3,515 (1961%)
Insurance Median: $208 (116%)
Cash: $3,515 (1961% 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 $42 - $703 23%
UnitedHealthcare $42 - $625 23%
Aetna $57 - $723 32%
Ambetter / Centene $57 - $313 32%
Amerihealth $57 - $2,238 32%
Clover Health $57 - $208 32%
Horizon New Jersey Total Care $57 - $208 32%
Wellpoint $57 - $690 32%
Blue Cross Blue Shield $61 - $593 34%
Multiplan $85 - $2,636 47%
Horizon New Jersey Health $229 128%
Longevity Health Plan $240 134%
Oxford $271 151%
Consumer Health Network $438 - $3,164 244%
Private Healthcare Systems $2,285 1275%
Magnacare $2,460 1373%
Oscar $3,311 1848%
Cigna $3,515 1961%

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