CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bayshore Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $660
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 3.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bayshore Medical Center is $660. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.68x the Medicare baseline. Located in 727 N Beers St, Holmdel, NJ.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$660

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: $197 (110%)
Insurance Median: $660 (368%)
Cash: $197 (110% of Medicare)
Ins. Median: $660 (368% 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 368% of the Medicare baseline (a markup of 268%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Vaccn $197 110%
Blue Cross Blue Shield $197 110%
Wellcare $197 110%
United Community/Americhoice $207 116%
Aetna $215 - $2,670 120%
UnitedHealthcare $236 - $714 132%
Cigna $356 - $2,728 199%
Oxford $434 242%
Clover $614 343%
Seoul Medical Group $638 356%
Amerihealth $648 - $660 362%
Qualcare $1,762 - $2,159 983%
Horizon $2,076 - $2,944 1158%
Brighton Health Plan $2,353 1313%
Bergen Risk $2,558 1427%
Multiplan - PHCS $2,898 1617%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals