CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Stanly Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $738
  • Cash Discount Price: $1,269
  • vs. Medicare Baseline: 6.91x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Stanly Regional Medical Center is $738. 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 6.91x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$1,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$738

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: $738 (691%)
Cash: $1,269 (1188% of Medicare)
Ins. Median: $738 (691% 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 691% of the Medicare baseline (a markup of 591%). 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
Trillium $35 - $316 33%
Alliance $36 - $313 34%
Amerihealth Caritas $36 - $310 34%
Carolina Complete Health $36 - $307 34%
Healthy Blue $36 - $307 34%
Partners $36 - $305 34%
UnitedHealthcare $36 - $1,718 34%
Vaya $36 - $310 34%
Wellcare $36 - $307 34%
Cigna $38 - $2,030 36%
Humana $38 - $103 36%
Aetna $39 - $2,284 37%
Blue Cross Blue Shield $395 - $706 370%
Ambetter / Centene $776 - $944 727%
Employers Health Network $1,122 - $1,467 1050%
Physician Reach Out $1,269 1188%
Magellan $1,523 1426%
Medcost $1,617 - $2,436 1514%
Gmmi $1,650 1545%
Quik Trip $1,650 1545%
Carolina Behavioral Health $1,827 - $2,030 1711%
First Health $2,284 2138%
Healthgram $2,284 2138%
Choicecare $2,386 2234%
Lifesynch Community Choice Care $2,386 2234%
Multiplan $2,386 2234%
Private Health Care Systems $2,386 2234%
Beechstreet $2,436 2281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals