CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jfk University Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $476
Cash Discount Price: $188
vs. Medicare Baseline: 2.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jfk University Medical Center is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.66x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$188

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $188 (105%)

Insurance Median: $476 (266%)

Cash: $188 (105% of Medicare)

Ins. Median: $476 (266% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 266% of the Medicare baseline (a markup of 166%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Karna	$97 - $292	54%
Aetna	$178 - $2,113	99%
Amerigroup	$178 - $197	99%
Horizon	$178 - $2,337	99%
Vaccn	$178 - $197	99%
Wellcare	$178 - $197	99%
United Community/Americhoice	$187 - $207	104%
Blue Cross Blue Shield	$197	110%
Cigna	$304	170%
UnitedHealthcare	$432 - $461	241%
Clover	$453	253%
Oxford	$461	257%
Amerihealth	$473 - $524	264%
Seoul Medical Group	$541	302%
Brighton Health Plan	$1,735	968%
Activecare First McO	$1,760	982%
Intergroup	$1,760	982%
Bergen Risk	$1,886	1052%
Qualcare	$1,944 - $2,037	1085%
Prime Health	$2,012	1123%
Multiplan - PHCS	$2,138	1193%

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 $188.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jfk University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.