CMS Price Transparency Data

CT scan, head (no contrast)

Facility: The Outer Banks Hospital, Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $940
Cash Discount Price: $817
vs. Medicare Baseline: 8.80x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at The Outer Banks Hospital, Inc is $940. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $817. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.80x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$817

Average discount available for prompt cash payment at this facility.

Insurance Median

$940

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: $817 (765%)

Insurance Median: $940 (880%)

Cash: $817 (765% of Medicare)

Ins. Median: $940 (880% 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 880% of the Medicare baseline (a markup of 780%). 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	$452 - $895	423%
Carolina Complete Health [1317]	$476	446%
Wellcare [1320]	$478	448%
Amerihealth McAid Adv [1316]	$481	450%
Liberty Advantage [1313]	$537	503%
UnitedHealthcare	$550 - $856	515%
Humana	$554	519%
Aetna	$567 - $1,142	531%
Longevity Health [1411]	$664	622%
Nc Dept of Public Safety [1095]	$919	860%
Medcost [1067]	$940 - $983	880%
Cigna	$1,240 - $1,386	1161%
Multiplan [1031]	$1,386	1298%

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 $817.
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 The Outer Banks Hospital, Inc 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.