CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Hackensack Meridian Health Pascack Valley Medical

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,020
Cash Discount Price: $244
vs. Medicare Baseline: 5.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Hackensack Meridian Health Pascack Valley Medical is $1,020. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.69x the Medicare baseline. Located in 250 Old Hook Road, Westwood, NJ.

Cash / Self-Pay

$244

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,020

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: $244 (136%)

Insurance Median: $1,020 (569%)

Cash: $244 (136% of Medicare)

Ins. Median: $1,020 (569% 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 569% of the Medicare baseline (a markup of 469%). 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
Healthscope Benefits [2290]	$202	113%
UnitedHealthcare	$202 - $401	113%
Medicaid / KanCare	$361 - $380	201%
Medicare (plans)	$448	250%
Aetna	$547	305%
Black Lung [6055]	$1,020	569%
Commercial Generic [1285]	$1,020	569%
Create Flex / Select [3580]	$1,020	569%
Healthcare Highways [2210]	$1,020	569%
Horizon [3625]	$1,020	569%
Lucent Health [6000]	$1,020	569%
Oncology Patient Assistance Programs [2295]	$1,020	569%
Selecthealth [3740]	$1,020	569%
Web Tpa [2115]	$1,020	569%
Worker's Comp [2125]	$1,020 - $1,866	569%
Wtc Healthcare Sme Karna [8005]	$1,020	569%
Magnacare Commercial [3650]	$1,717	958%
Qualcare [3725]	$2,087 - $2,413	1165%
Emblem Health [2430]	$2,413	1347%
Humana	$2,413	1347%

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 $244.
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 Hackensack Meridian Health Pascack Valley Medical 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.