CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Duke University Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $349
  • Cash Discount Price: $452
  • vs. Medicare Baseline: 3.27x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Duke University Hospital is $349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $452. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.27x the Medicare baseline. Located in 2301 Erwin Rd, Durham, NC.
Cash / Self-Pay
$452

Average discount available for prompt cash payment at this facility.

Insurance Median
$349

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $452 (423%)
Insurance Median: $349 (327%)
Cash: $452 (423% of Medicare)
Ins. Median: $349 (327% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 327% of the Medicare baseline (a markup of 227%). 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
Aetna $100 - $926 94%
Blue Cross Blue Shield $104 - $1,675 97%
Troy Health $104 97%
UnitedHealthcare $104 - $1,427 97%
Voans $104 97%
Cigna $106 - $1,675 99%
Humana $106 - $1,424 99%
Liberty $106 99%
Amerihealth $270 - $349 253%
Carolina Complete Health $270 - $349 253%
Trillium $270 - $349 253%
Alliance Health $299 280%
Partners $299 280%
Medcost $729 683%
Sentara $1,044 977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2301 Erwin Rd, Durham, NC 27705
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals