CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Pender Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $447
Cash Discount Price: $702
vs. Medicare Baseline: 4.19x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Pender Memorial Hospital is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $702. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.19x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$702

Average discount available for prompt cash payment at this facility.

Insurance Median

$447

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: $702 (657%)

Insurance Median: $447 (419%)

Cash: $702 (657% of Medicare)

Ins. Median: $447 (419% 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 419% of the Medicare baseline (a markup of 319%). 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	$168 - $576	157%
Humana	$400 - $1,342	374%
Pace Of The Southern Piedmont	$421	394%
New Hanover Health	$430	403%
Aetna	$432 - $1,327	404%
Cigna	$434 - $688	406%
Carolina Complete	$438	410%
Nc Department Of Public Safety	$438 - $843	410%
Amerihealth	$447	419%
Wellcare	$447	419%
Ambetter / Centene	$590	552%
Liberty Health	$599	561%
Caresource North Carolina	$624	584%
Plotkin Health	$937	877%
UnitedHealthcare	$1,140	1067%
Medcost	$1,175 - $1,310	1100%
Employers Choice Network	$1,514	1417%
Three Rivers Provider Network	$1,514	1417%

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 $702.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pender Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.