CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Vidant Chowan Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,823
Cash Discount Price: $1,613
vs. Medicare Baseline: 10.17x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Vidant Chowan Hospital is $1,823. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,613. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.17x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$1,613

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,823

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: $1,613 (900%)

Insurance Median: $1,823 (1017%)

Cash: $1,613 (900% of Medicare)

Ins. Median: $1,823 (1017% 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 1017% of the Medicare baseline (a markup of 917%). 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	$865 - $1,748	483%
Carolina Complete Health [1317]	$873	487%
Wellcare [1320]	$878	490%
Amerihealth McAid Adv [1316]	$882	492%
Humana	$893	498%
UnitedHealthcare	$971 - $1,774	542%
Liberty Advantage [1313]	$999	557%
Aetna	$1,028 - $2,356	574%
Longevity Health [1411]	$1,236	690%
Nc Dept of Public Safety [1095]	$1,613	900%
Medcost [1067]	$1,823 - $1,921	1017%
Cigna	$2,448 - $2,736	1366%
Multiplan [1031]	$2,736	1527%

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 $1,613.
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 Vidant Chowan Hospital 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.