CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Trinitas Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $346
  • Cash Discount Price: $433
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Trinitas Regional Medical Center is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.93x the Medicare baseline. Located in 225 Williamson Street, Elizabeth, NJ.
Cash / Self-Pay
$433

Average discount available for prompt cash payment at this facility.

Insurance Median
$346

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: $433 (242%)
Insurance Median: $346 (193%)
Cash: $433 (242% of Medicare)
Ins. Median: $346 (193% 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
Wellpoint $79 - $195 44%
Aetna $195 - $1,008 109%
Blue Cross Blue Shield $195 - $1,470 109%
Clover Health $195 109%
Fidelis Care $195 109%
Humana $195 109%
UnitedHealthcare $198 - $346 110%
Qualcare Inc $220 123%
Cigna $281 - $296 157%
Wellcare $387 216%
Emblem Health $389 217%
Amerihealth $502 280%
First Health $1,383 772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 Williamson Street, Elizabeth, NJ 07207
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals