CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Overlook Medical Center

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$290

about 1.6× the $179 Medicare rate · typically $215–$311

modeled estimate · not a bill or quote

What this hospital charges insurers

$292

About the fair price

about $2 over the fair price · 1.6× Medicare

Medicare pays $179 Fair price $290 This hospital $292 Cash price $238 Hospital's list price $3,798

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $172 Priciest $292

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with and without contrast) is about $290 (about 1.6× the $179 Medicare rate). Overlook Medical Center charges insurers about $292, or about $238 in cash — about the fair price. Located in Summit, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$292	163%
Blue Cross Blue Shieldmajor	$207 - $3,162	116%
Aetnamajor	$207 - $770	116%
Cignamajor	$185 - $218	103%
Humanamajor	$936	522%
Kaiser Permanentemajor	$2,046	1142%
Ambetter (Centene)	$207	116%
AmeriHealth	$207 - $1,791	116%
GEHA	$292	163%
Harvard Pilgrim	$292	163%
Health Net	$303 - $3,162	169%
MagnaCare	$1,235 - $2,972	689%
MVP Health Care	$218	122%
Oscar Health	$936	522%
Tufts Health Plan	$218	122%
UPMC Health Plan	$207	116%
WellCare	$207	116%
+ 79 smaller / regional plans	$207 - $3,720

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 25 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 238), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm Overlook Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Overlook Medical Center

Compare: CT scan, head (with and without contrast) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.