CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Carolinas Rehabilitation

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,317
Cash Discount Price: $1,520
vs. Medicare Baseline: 7.35x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Carolinas Rehabilitation is $1,317. 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 7.35x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$1,520

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,317

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: $1,317 (735%)

Cash: $1,520 (848% of Medicare)

Ins. Median: $1,317 (735% 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 735% of the Medicare baseline (a markup of 635%). 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
Amerihealth Caritas	$47 - $1,183	26%
Carolina Complete Health	$47 - $1,205	26%
Healthy Blue	$47 - $1,205	26%
UnitedHealthcare	$47 - $1,995	26%
Wellcare	$47 - $1,205	26%
Cigna	$50 - $2,053	28%
Humana	$51 - $182	28%
Aetna	$52 - $2,585	29%
Ambetter / Centene	$930 - $1,131	519%
Blue Cross Blue Shield	$1,054 - $1,462	588%
Employers Health Network	$1,344	750%
Physician Reach Out	$1,520	848%
Medcost	$1,779 - $2,037	993%
Quik Trip	$1,977	1103%
Choicecare	$2,372	1324%
Healthgram	$2,433	1358%
Private Health Care Systems	$2,494	1392%
First Health	$2,585	1443%
Beechstreet	$2,798	1561%
Multiplan	$2,798	1561%

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 $1,520.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Carolinas Rehabilitation is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.