CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Jamaica Hospital Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $231
Cash Discount Price: $744
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Jamaica Hospital Medical Center is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.29x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.

Cash / Self-Pay

$744

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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: $744 (415%)

Insurance Median: $231 (129%)

Cash: $744 (415% of Medicare)

Ins. Median: $231 (129% 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
Ghi	$108 - $218	60%
UnitedHealthcare	$145 - $927	81%
Healthfirst	$196 - $218	109%
Fidelis	$207 - $218	116%
Aetna	$218 - $1,229	122%
Beacon Health Strategies	$218	122%
Centerlight Healthcare	$218	122%
Centivo	$218	122%
Empire	$218 - $495	122%
Hip	$218 - $665	122%
Metroplus	$218 - $240	122%
Elderplan	$222	124%
Wellcare Of Ny	$227	127%
Humana	$231	129%
Senior Whole Health	$231	129%
World Trade Center Program	$233 - $337	130%
Centers Plan For Healthy Living	$240	134%
Hamaspik Choice	$251	140%
Magnacare	$251	140%
Emblemhealth	$360	201%
1999 National Benefit Fund	$361	201%
Empire Blue Priority	$421	235%
Vns	$900	502%
Oscar	$1,480	826%
Villagecaremax	$1,522	849%
Cigna	$1,756	980%
Hotel Trades Council	$1,912	1067%

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 $744.
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 Jamaica Hospital 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.