CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $999
Cash Discount Price: $1,142
vs. Medicare Baseline: 5.57x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Novant Health Presbyterian Medical Center is $999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.57x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$999

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: $1,142 (637%)

Insurance Median: $999 (557%)

Cash: $1,142 (637% of Medicare)

Ins. Median: $999 (557% 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 557% of the Medicare baseline (a markup of 457%). 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 - $1,505	95%
Humana	$170 - $1,837	95%
Pace Of The Southern Piedmont	$170	95%
UnitedHealthcare	$170 - $1,490	95%
Aetna	$175 - $2,041	98%
Cigna	$176 - $1,314	98%
Liberty Health	$179	100%
Nc Department Of Public Safety	$341 - $444	190%
Carolina Complete	$351 - $444	196%
Amerihealth	$358 - $453	200%
Wellcare	$358 - $453	200%
Caresource North Carolina	$666 - $842	372%
Atlantic Corporation Dba Atlantic Packaging	$928 - $1,173	518%
Amps	$1,109 - $1,403	619%
Plotkin Health	$1,210 - $1,531	675%
Medcost	$1,432 - $1,913	799%
Primary Physician Care	$1,493 - $1,888	833%
Multiplan	$1,513 - $1,913	844%
Phcs	$1,513 - $1,913	844%
Employers Choice Network	$1,956 - $2,474	1092%
Three Rivers Provider Network	$1,956 - $2,474	1092%

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 $1,142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.