CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Caromont Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $452
Cash Discount Price: $2,943
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Caromont Regional Medical Center is $452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,943. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.23x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.

Cash / Self-Pay

$2,943

Average discount available for prompt cash payment at this facility.

Insurance Median

$452

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: $2,943 (2755%)

Insurance Median: $452 (423%)

Cash: $2,943 (2755% of Medicare)

Ins. Median: $452 (423% 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 423% of the Medicare baseline (a markup of 323%). 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
Blue Cross Blue Shield	$107 - $1,177	100%
UnitedHealthcare	$107 - $452	100%
Aetna	$111 - $1,023	104%
Devoted Health	$112	105%
Healthteam	$112	105%
Longevity Health	$112	105%
Molina	$112 - $827	105%
Humana	$114 - $2,590	107%
Surgery Plus	$187	175%
Cigna	$199 - $1,063	186%
Carolina Caring	$267 - $2,331	250%
Corporate Benefits Service	$287	269%
Carolina Complete Health	$443	415%
Partners Behavioral Health	$443	415%
Alliance Behavioral Health	$452	423%
Amerihealth Caritas	$452	423%
Carolina Complete Health Tailored Plans	$452	423%
Vaya Behavioral Health	$452	423%
Wellcare	$452	423%
Absolute Total Care	$827	774%
Gaston County Jail	$886	830%
Medcost	$1,416	1326%
Self Pay	$1,913	1791%
Beech Street	$2,413	2259%
Multiplan	$2,413	2259%
First Health Network	$2,796	2618%

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 $2,943.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Caromont Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.