CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $459
Cash Discount Price: $1,152
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Geisinger Jersey Shore Hospital is $459. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,152. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.56x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$1,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$459

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: $1,152 (643%)

Insurance Median: $459 (256%)

Cash: $1,152 (643% of Medicare)

Ins. Median: $459 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Advantra	$71	40%
Aetna	$71 - $541	40%
American Progressive	$71	40%
Medicare (plans)	$71	40%
Blue Cross Blue Shield	$72 - $1,102	40%
Humana	$72	40%
Medicaid / KanCare	$159	89%
Ambetter / Centene	$171	95%
Amerihealth	$175	98%
Geisinger Family Plan	$175	98%
Upmc For You	$187	104%
Health Partners	$191	107%
Upmc Chip	$199	111%
Prison Health Services	$211	118%
Geisinger Health Plan	$372 - $912	208%
UnitedHealthcare	$825	460%
Christian Healthcare Ministries	$929	518%
Cigna	$990	552%
Medical Development International	$1,301	726%
Integrated Health Plan	$1,394	778%
Prime Health Services	$1,394	778%
Multiplan	$1,486	829%

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 $1,152.
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 Geisinger Jersey Shore Hospital 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.