CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,281
Cash Discount Price: $1,172
vs. Medicare Baseline: 7.15x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Novant Health Presbyterian Medical Center is $1,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,172. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.15x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$1,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,281

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: $1,172 (654%)

Insurance Median: $1,281 (715%)

Cash: $1,172 (654% of Medicare)

Ins. Median: $1,281 (715% 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 715% of the Medicare baseline (a markup of 615%). 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	$170 - $1,728	95%
Humana	$170 - $2,109	95%
Pace Of The Southern Piedmont	$170	95%
UnitedHealthcare	$170 - $1,711	95%
Aetna	$175 - $2,343	98%
Cigna	$176 - $1,508	98%
Liberty Health	$179	100%
Nc Department Of Public Safety	$341 - $510	190%
Carolina Complete	$403 - $510	225%
Amerihealth	$412 - $520	230%
Wellcare	$412 - $520	230%
Caresource North Carolina	$764 - $967	426%
Atlantic Corporation Dba Atlantic Packaging	$1,065 - $1,347	594%
Amps	$1,274 - $1,611	711%
Plotkin Health	$1,390 - $1,757	776%
Medcost	$1,644 - $2,197	917%
Primary Physician Care	$1,714 - $2,167	956%
Multiplan	$1,737 - $2,197	969%
Phcs	$1,737 - $2,197	969%
Employers Choice Network	$2,247 - $2,841	1254%
Three Rivers Provider Network	$2,247 - $2,841	1254%

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 $1,172.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.