CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Wilkes Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $921
  • Cash Discount Price: $903
  • vs. Medicare Baseline: 8.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Wilkes Regional Medical Center is $921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $903. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.62x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.
Cash / Self-Pay
$903

Average discount available for prompt cash payment at this facility.

Insurance Median
$921

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: $903 (845%)
Insurance Median: $921 (862%)
Cash: $903 (845% of Medicare)
Ins. Median: $921 (862% 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 862% of the Medicare baseline (a markup of 762%). 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
Healthteam $105 98%
Amerihealth $338 - $1,049 316%
Carolina Complete $338 316%
Healthblue $338 316%
Partners $338 316%
UnitedHealthcare $341 - $964 319%
Vaya $341 319%
Wellcare $341 319%
Alliance $344 322%
Trillium $348 326%
Medcost $520 - $1,289 487%
Blue Cross Blue Shield $627 - $1,053 587%
Aetna $686 - $1,240 642%
Ambetter / Centene $764 - $1,099 715%
Cigna $946 - $978 886%
Oscar $993 - $1,173 930%
Directnet $1,067 999%
Private Healthcare Systems $1,624 1520%
Multiplan $1,661 1555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals