CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,113
  • Cash Discount Price: $1,520
  • vs. Medicare Baseline: 6.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Carolinas Medical Center/Behav Health is $1,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,520. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.21x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$1,520

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,113

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: $1,520 (848%)
Insurance Median: $1,113 (621%)
Cash: $1,520 (848% of Medicare)
Ins. Median: $1,113 (621% 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 621% of the Medicare baseline (a markup of 521%). 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
Amerihealth Caritas $47 - $663 26%
Carolina Complete Health $47 - $3,041 26%
Healthy Blue $47 - $676 26%
Partners $47 - $669 26%
Trillium $47 - $710 26%
UnitedHealthcare $47 - $1,545 26%
Vaya $47 - $682 26%
Wellcare $47 - $676 26%
Alliance $48 - $794 27%
Blue Cross Blue Shield $50 - $1,761 28%
Cigna $50 - $2,433 28%
Humana $51 - $2,494 28%
Aetna $52 - $2,220 29%
Ortho Carolina $62 - $223 35%
Molina $316 176%
Sandhills $671 374%
Ambetter / Centene $883 - $1,435 493%
Medcost $943 - $1,794 526%
Employers Health Network $1,344 750%
Physician Reach Out $1,520 848%
Magellan $1,825 1018%
Gmmi $1,977 1103%
Quik Trip $1,977 1103%
Carolina Behavioral Health $2,189 - $2,433 1222%
Choicecare $2,189 - $2,250 1222%
First Health $2,433 - $2,676 1358%
Healthgram $2,433 1358%
Private Health Care Systems $2,433 - $2,494 1358%
Provider Select $2,463 - $2,737 1374%
Lifesynch Community Choice Care $2,494 1392%
Beechstreet $2,646 - $2,676 1477%
Multiplan $2,737 1527%

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