CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Caromont Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $490
  • Cash Discount Price: $3,192
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Caromont Regional Medical Center is $490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,192. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.73x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$3,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$490

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: $3,192 (1781%)
Insurance Median: $490 (273%)
Cash: $3,192 (1781% of Medicare)
Ins. Median: $490 (273% 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 273% of the Medicare baseline (a markup of 173%). 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
Blue Cross Blue Shield $179 - $1,276 100%
UnitedHealthcare $179 - $490 100%
Aetna $186 - $1,023 104%
Devoted Health $188 105%
Healthteam $188 105%
Longevity Health $188 105%
Molina $188 - $897 105%
Humana $192 - $2,809 107%
Surgery Plus $314 175%
Cigna $333 - $1,063 186%
Carolina Caring $448 - $2,528 250%
Carolina Complete Health $480 268%
Partners Behavioral Health $480 268%
Corporate Benefits Service $482 269%
Alliance Behavioral Health $490 273%
Amerihealth Caritas $490 273%
Carolina Complete Health Tailored Plans $490 273%
Vaya Behavioral Health $490 273%
Wellcare $490 273%
Absolute Total Care $897 501%
Gaston County Jail $961 536%
Medcost $1,535 857%
Self Pay $2,075 1158%
Beech Street $2,617 1460%
Multiplan $2,617 1460%
First Health Network $3,032 1692%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals