CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $954
Cash Discount Price: $2,293
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Novant Health Ballantyne Medical Center is $954. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,293. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.91x the Medicare baseline. Located in 10905 Providence Road W, Charlotte, NC.

Cash / Self-Pay

$2,293

Average discount available for prompt cash payment at this facility.

Insurance Median

$954

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,293 (941%)

Insurance Median: $954 (391%)

Cash: $2,293 (941% of Medicare)

Ins. Median: $954 (391% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 391% of the Medicare baseline (a markup of 291%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$185 - $2,705	76%
Humana	$232 - $3,301	95%
Pace Of The Southern Piedmont	$232	95%
UnitedHealthcare	$232 - $2,678	95%
Aetna	$238 - $3,668	98%
Cigna	$239 - $2,361	98%
Liberty Health	$243	100%
Nc Department Of Public Safety	$464 - $935	190%
Carolina Complete	$935	384%
Amerihealth	$954	391%
Wellcare	$954	391%
Caresource North Carolina	$1,513	621%
Atlantic Corporation Dba Atlantic Packaging	$2,109	865%
Amps	$2,522	1035%
Plotkin Health	$2,751	1129%
Medcost	$3,255 - $3,439	1335%
Primary Physician Care	$3,393	1392%
Multiplan	$3,439	1411%
Phcs	$3,439	1411%
Employers Choice Network	$4,447	1824%
Three Rivers Provider Network	$4,447	1824%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,293.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Ballantyne Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.