CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Jersey City Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $316
Cash Discount Price: $610
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Jersey City Medical Center is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $610. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.76x the Medicare baseline. Located in 355 Grand Street, Jersey City, NJ.

Cash / Self-Pay

$610

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: $610 (340%)

Insurance Median: $316 (176%)

Cash: $610 (340% 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	$120 - $210	67%
Aetna	$210 - $886	117%
Blue Cross Blue Shield	$210 - $2,663	117%
Clover Health	$210	117%
Fidelis Care	$210 - $825	117%
Humana	$210	117%
UnitedHealthcare	$214 - $809	119%
Cigna	$221 - $296	123%
Emblem Health	$398	222%
Wellcare	$417	233%
Amerihealth	$456	254%
Qualcare Inc	$704 - $1,796	393%
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 $610.
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 Jersey City Medical Center 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.