CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: UPMC Jameson

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $217
Cash Discount Price: $886
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at UPMC Jameson is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $886. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.21x the Medicare baseline. Located in 1211 Wilmington Avenue, New Castle, PA.

Cash / Self-Pay

$886

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $886 (494%)

Insurance Median: $217 (121%)

Cash: $886 (494% of Medicare)

Ins. Median: $217 (121% 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
UnitedHealthcare	$115 - $763	64%
Aetna	$169 - $180	94%
Humana	$170 - $1,181	95%
Upmc Health Plan	$175 - $1,191	98%
Amerihealth Caritas	$183 - $207	102%
Cigna	$183 - $670	102%
Highmark Wholecare (Prev Gateway)	$183 - $738	102%
Pa Health & Wellness	$183 - $271	102%
Occunet	$212	118%
Geisinger	$221	123%
Blue Cross Blue Shield	$386	215%
Upmc Work Partners	$764	426%
Multiplan	$1,107 - $1,181	618%
National Provider Network	$1,299	725%

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 $886.
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 UPMC Jameson 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.