CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Atrium Health University City

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $599
  • Cash Discount Price: $1,520
  • vs. Medicare Baseline: 3.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Atrium Health University City is $599. 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 3.34x the Medicare baseline. Located in 8800 North Tyron Street, Charlotte, NC.
Cash / Self-Pay
$1,520

Average discount available for prompt cash payment at this facility.

Insurance Median
$599

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: $599 (334%)
Cash: $1,520 (848% of Medicare)
Ins. Median: $599 (334% 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 334% of the Medicare baseline (a markup of 234%). 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 - $312 26%
Carolina Complete Health $47 - $317 26%
Healthy Blue $47 - $317 26%
Partners $47 - $304 26%
Trillium $47 - $327 26%
UnitedHealthcare $47 - $1,423 26%
Vaya $47 - $321 26%
Wellcare $47 - $317 26%
Alliance $48 - $324 27%
Cigna $50 - $2,433 28%
Humana $51 - $173 28%
Aetna $52 - $2,524 29%
Ortho Carolina $62 - $212 35%
Blue Cross Blue Shield $427 - $680 238%
Ambetter / Centene $895 - $1,104 499%
Employers Health Network $1,344 750%
Physician Reach Out $1,520 848%
Medcost $1,536 - $1,764 857%
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 - $2,524 1358%
Healthgram $2,433 1358%
Private Health Care Systems $2,494 1392%
Provider Select $2,646 - $2,950 1477%
Beechstreet $2,737 1527%
Multiplan $2,798 1561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8800 North Tyron Street, Charlotte, NC 28262
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals