CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $926
Cash Discount Price: $871
vs. Medicare Baseline: 8.67x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Novant Health Presbyterian Medical Center is $926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $871. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.67x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$871

Average discount available for prompt cash payment at this facility.

Insurance Median

$926

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: $871 (815%)

Insurance Median: $926 (867%)

Cash: $871 (815% of Medicare)

Ins. Median: $926 (867% 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 867% of the Medicare baseline (a markup of 767%). 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	$102 - $1,253	95%
Humana	$102 - $1,529	95%
Pace Of The Southern Piedmont	$102	95%
UnitedHealthcare	$102 - $1,240	95%
Aetna	$104 - $1,698	97%
Cigna	$105 - $1,093	98%
Liberty Health	$107	100%
Nc Department Of Public Safety	$203 - $370	190%
Carolina Complete	$249 - $370	233%
Amerihealth	$254 - $377	238%
Wellcare	$254 - $377	238%
Caresource North Carolina	$471 - $701	441%
Atlantic Corporation Dba Atlantic Packaging	$656 - $977	614%
Amps	$785 - $1,168	735%
Plotkin Health	$856 - $1,274	801%
Medcost	$1,013 - $1,592	948%
Primary Physician Care	$1,056 - $1,571	989%
Multiplan	$1,070 - $1,592	1002%
Phcs	$1,070 - $1,592	1002%
Employers Choice Network	$1,384 - $2,059	1296%
Three Rivers Provider Network	$1,384 - $2,059	1296%

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 $871.
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 Novant Health Presbyterian 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.