CMS Price Transparency Data

CT scan, head (with contrast)

Facility: The University Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $923
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 5.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at The University Hospital is $923. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.15x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$923

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: $234 (131%)
Insurance Median: $923 (515%)
Cash: $234 (131% of Medicare)
Ins. Median: $923 (515% 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 515% of the Medicare baseline (a markup of 415%). 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
Amerihealth $165 - $203 92%
UnitedHealthcare $203 - $923 113%
Aetna $203 - $923 113%
Fidelis $203 - $923 113%
Clover Health $203 113%
Horizon $203 - $407 113%
Wellpoint $941 525%
First Health $2,200 1228%
Americare $2,357 1315%
Qualcare $2,357 1315%
Multiplan $2,514 1403%
Correctional Medical Services $2,514 1403%
First Trenton $2,828 1578%
Managed Care Inc $2,828 1578%
Three Rivers $2,985 1666%
Consumer Health Network $2,985 1666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 Bergen St, Newark, NJ 07103
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals