CMS Price Transparency Data

CT scan, head (no contrast)

Facility: North Carolina Baptist Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $742
Cash Discount Price: $1,108
vs. Medicare Baseline: 6.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at North Carolina Baptist Hospital is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,108. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.95x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.

Cash / Self-Pay

$1,108

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $1,108 (1037%)

Insurance Median: $742 (695%)

Cash: $1,108 (1037% of Medicare)

Ins. Median: $742 (695% 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 695% of the Medicare baseline (a markup of 595%). 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
Aetna	$103 - $1,935	96%
Apex	$103	96%
Blue Cross Blue Shield	$103 - $836	96%
Cigna	$103 - $1,366	96%
Devoted	$103	96%
Healthteam	$103	96%
UnitedHealthcare	$103 - $1,178	96%
Wellcare	$103 - $521	96%
Humana	$104 - $1,245	97%
Medicare (plans)	$104	97%
Liberty	$118	110%
Medcost	$427 - $1,514	400%
Amerihealth	$487 - $613	456%
Carolina Complete	$487 - $514	456%
Health Blue	$487 - $514	456%
Partners	$487 - $514	456%
Vaya	$492 - $520	461%
Alliance	$497 - $525	465%
Trillium	$502 - $530	470%
Ambetter / Centene	$582 - $615	545%
Oscar	$647 - $819	606%
Directnet	$1,275 - $1,345	1194%
Cone Health	$1,510 - $1,593	1414%
Healthgram	$1,510 - $1,593	1414%
First Carolina Care	$1,726 - $1,821	1616%
Private Healthcare Systems	$1,769 - $1,866	1656%
Multiplan	$1,941 - $2,048	1817%

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 $1,108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm North Carolina Baptist Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.