CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $881
  • Cash Discount Price: $1,350
  • vs. Medicare Baseline: 8.25x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Carolinas Medical Center/Behav Health is $881. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.25x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median
$881

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: $1,350 (1264%)
Insurance Median: $881 (825%)
Cash: $1,350 (1264% of Medicare)
Ins. Median: $881 (825% 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 825% of the Medicare baseline (a markup of 725%). 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
Blue Cross Blue Shield $48 - $1,564 45%
Cigna $48 - $2,160 45%
Partners $48 - $594 45%
Aetna $49 - $1,971 46%
Alliance $49 - $705 46%
Amerihealth Caritas $49 - $589 46%
Carolina Complete Health $49 - $2,700 46%
Healthy Blue $49 - $600 46%
Humana $49 - $2,214 46%
Trillium $49 - $631 46%
UnitedHealthcare $49 - $1,372 46%
Vaya $49 - $606 46%
Wellcare $49 - $600 46%
Ortho Carolina $60 - $154 56%
Molina $330 309%
Choicecare $581 - $1,998 544%
Sandhills $596 558%
Ambetter / Centene $784 - $1,274 734%
Medcost $837 - $1,593 784%
Employers Health Network $1,193 1117%
Physician Reach Out $1,350 1264%
Magellan $1,620 1517%
Gmmi $1,755 1643%
Quik Trip $1,755 1643%
Carolina Behavioral Health $1,944 - $2,160 1820%
First Health $2,160 - $2,376 2022%
Healthgram $2,160 2022%
Private Health Care Systems $2,160 - $2,214 2022%
Provider Select $2,187 - $2,430 2048%
Lifesynch Community Choice Care $2,214 2073%
Beechstreet $2,349 - $2,376 2199%
Multiplan $2,430 2275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals