CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Stanly Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $921
  • Cash Discount Price: $1,520
  • vs. Medicare Baseline: 5.14x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Stanly Regional Medical Center is $921. 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 5.14x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$1,520

Average discount available for prompt cash payment at this facility.

Insurance Median
$921

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: $921 (514%)
Cash: $1,520 (848% of Medicare)
Ins. Median: $921 (514% 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 514% of the Medicare baseline (a markup of 414%). 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 - $372 26%
Carolina Complete Health $47 - $368 26%
Healthy Blue $47 - $368 26%
Partners $47 - $365 26%
Trillium $47 - $379 26%
UnitedHealthcare $47 - $2,059 26%
Vaya $47 - $372 26%
Wellcare $47 - $368 26%
Alliance $48 - $376 27%
Cigna $50 - $2,433 28%
Humana $51 - $173 28%
Aetna $52 - $2,737 29%
Blue Cross Blue Shield $473 - $816 264%
Ambetter / Centene $930 - $1,131 519%
Employers Health Network $1,344 - $1,758 750%
Physician Reach Out $1,520 848%
Magellan $1,825 1018%
Medcost $1,937 - $2,919 1081%
Gmmi $1,977 1103%
Quik Trip $1,977 1103%
Carolina Behavioral Health $2,189 - $2,433 1222%
First Health $2,737 1527%
Healthgram $2,737 1527%
Choicecare $2,858 1595%
Lifesynch Community Choice Care $2,858 1595%
Multiplan $2,858 1595%
Private Health Care Systems $2,858 1595%
Beechstreet $2,919 1629%

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