CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Stanly Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,043
  • Cash Discount Price: $1,942
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Stanly Regional Medical Center is $1,043. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,942. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.82x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$1,942

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,043

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: $1,942 (1084%)
Insurance Median: $1,043 (582%)
Cash: $1,942 (1084% of Medicare)
Ins. Median: $1,043 (582% 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 582% of the Medicare baseline (a markup of 482%). 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 $53 - $475 30%
Carolina Complete Health $53 - $470 30%
Healthy Blue $53 - $470 30%
Partners $53 - $466 30%
Trillium $53 - $484 30%
UnitedHealthcare $53 - $2,630 30%
Vaya $53 - $475 30%
Wellcare $53 - $470 30%
Alliance $54 - $480 30%
Cigna $56 - $3,108 31%
Humana $57 - $173 32%
Aetna $58 - $3,496 32%
Blue Cross Blue Shield $604 - $1,043 337%
Ambetter / Centene $1,188 - $1,445 663%
Employers Health Network $1,717 - $2,245 958%
Physician Reach Out $1,942 1084%
Magellan $2,331 1301%
Medcost $2,475 - $3,729 1381%
Gmmi $2,525 1409%
Quik Trip $2,525 1409%
Carolina Behavioral Health $2,797 - $3,108 1561%
First Health $3,496 1951%
Healthgram $3,496 1951%
Choicecare $3,652 2038%
Lifesynch Community Choice Care $3,652 2038%
Multiplan $3,652 2038%
Private Health Care Systems $3,652 2038%
Beechstreet $3,729 2081%

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