CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $316
Cash Discount Price: $496
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Robert Wood Johnson University Hospital - Somerset is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.76x the Medicare baseline. Located in 110 Rehill Ave, Somerville, NJ.

Cash / Self-Pay

$496

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $496 (277%)

Insurance Median: $316 (176%)

Cash: $496 (277% of Medicare)

Ins. Median: $316 (176% 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
Wellpoint	$98 - $195	55%
Aetna	$195 - $464	109%
Blue Cross Blue Shield	$195 - $2,684	109%
Clover Health	$195	109%
Fidelis Care	$195 - $436	109%
Humana	$195	109%
UnitedHealthcare	$198 - $424	110%
Cigna	$221 - $296	123%
Emblem Health	$340	190%
Wellcare	$387	216%
Amerihealth	$456	254%
Qualcare Inc	$1,409	786%
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 $496.
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 Robert Wood Johnson University Hospital - Somerset 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.