CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Pender Memorial Hospital

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$451
about 2.5× the $179 Medicare rate · typically $220–$601
modeled estimate · not a bill or quote
What this hospital charges insurers
$516
About the fair price
about $65 over the fair price · 2.9× Medicare
Medicare pays $179 Fair price $451 This hospital $516 Cash price $810 Hospital's list price $1,800

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $138 Priciest $516

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with contrast) is about $451 (about 2.5× the $179 Medicare rate). Pender Memorial Hospital charges insurers about $516, or about $810 in cash — about the fair price. Located in Burgaw, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,314 733%
Blue Cross Blue Shieldmajor $218 - $664 122%
Aetnamajor $498 - $1,530 278%
Cignamajor $501 - $794 280%
Humanamajor $462 - $1,548 258%
Ambetter (Centene) $680 379%
AmeriHealth $516 288%
CareSource $720 402%
WellCare $516 288%
+ 7 smaller / regional plans $486 - $1,746
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals