CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $936
  • Cash Discount Price: $1,269
  • vs. Medicare Baseline: 8.76x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Carolinas Medical Center/Behav Health is $936. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,269. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.76x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$1,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$936

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: $1,269 (1188%)
Insurance Median: $936 (876%)
Cash: $1,269 (1188% of Medicare)
Ins. Median: $936 (876% 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 876% of the Medicare baseline (a markup of 776%). 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
Partners $35 - $558 33%
Alliance $36 - $662 34%
Amerihealth Caritas $36 - $553 34%
Carolina Complete Health $36 - $2,538 34%
Healthy Blue $36 - $564 34%
Trillium $36 - $593 34%
UnitedHealthcare $36 - $1,289 34%
Vaya $36 - $569 34%
Wellcare $36 - $564 34%
Blue Cross Blue Shield $38 - $1,470 36%
Cigna $38 - $2,030 36%
Humana $38 - $2,081 36%
Aetna $39 - $1,853 37%
Ortho Carolina $47 - $133 44%
Molina $264 247%
Sandhills $560 524%
Ambetter / Centene $737 - $1,198 690%
Medcost $787 - $1,497 737%
Employers Health Network $1,122 1050%
Physician Reach Out $1,269 1188%
Magellan $1,523 1426%
Gmmi $1,650 1545%
Quik Trip $1,650 1545%
Carolina Behavioral Health $1,827 - $2,030 1711%
Choicecare $1,827 - $1,878 1711%
First Health $2,030 - $2,233 1901%
Healthgram $2,030 1901%
Private Health Care Systems $2,030 - $2,081 1901%
Provider Select $2,056 - $2,284 1925%
Lifesynch Community Choice Care $2,081 1948%
Beechstreet $2,208 - $2,233 2067%
Multiplan $2,284 2138%

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