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North Carolina

Cost of a Chest CT Scan Visit
in North Carolina

Reviewed by Momentary Medical Group West PC

North Carolina's healthcare landscape features over 2,500 active Chest CT Scan providers across both academic medical centers and community hospitals, creating competitive pricing despite the state's decision not to expand Medicaid. Patients seeking a Chest CT Scan typically pay between $59.92 and $443.10, with a median out-of-pocket cost of $195.94 based on negotiated insurance rates. Browse all Chest CT Scan providers in North Carolina to compare costs and find the most affordable option for your needs.

Average

$233

Median

$196

Lowest

$60

Highest

$443

Providers

2,569

National avg: $302North Carolina: $233

23% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in North Carolina?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$99$367$9882,437
MRI Knee

MRI of the knee without contrast

73721$65$224$5802,625
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$72$212$5722,593
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$269$6482,798

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 71260CT chest with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 71260 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 71260 (CT chest with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 71260 covers: the provider's professional fee for ct chest. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Chest CT Scan Visit Costs Vary Across North Carolina

North Carolina's Chest CT Scan costs run approximately 2% below national averages, reflecting the state's competitive imaging market and lower overall healthcare costs compared to neighboring states. The growing ambulatory surgery center market provides additional pricing pressure on hospital-based imaging departments throughout the Research Triangle and Charlotte metro areas.

Urban vs. Rural Provider Availability

The Charlotte and Raleigh-Durham metros concentrate most imaging specialists, while rural counties in eastern and western North Carolina often require patients to travel significant distances for specialized chest imaging. This geographic disparity creates higher effective costs for rural patients despite lower base pricing at rural facilities.

Facility Type and Overhead Costs

Hospital-based imaging centers affiliated with major health systems like Atrium Health or Duke Health typically charge 30-50% more than independent imaging centers for identical Chest CT Scan procedures. Academic medical centers command premium pricing due to their research missions and subspecialty expertise in complex thoracic conditions.

Insurance Market Competition in North Carolina

BCBS NC dominates the individual market with limited competition from UHC and Aetna, particularly in rural counties where patients may have only one insurer option. This market concentration allows insurers to negotiate aggressively with providers, keeping rates competitive but potentially limiting provider networks in underserved areas.

Physician Supply and Demand in North Carolina

With over 2,500 active providers offering Chest CT Scan services, North Carolina maintains adequate capacity in urban areas but faces shortages in rural regions. This relatively strong supply in metro areas helps keep wait times short and pricing competitive, though rural patients may face longer delays and higher travel costs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Chest CT Scan Costs in North Carolina

What is the average cost of a Chest CT Scan visit in North Carolina without insurance?

Uninsured patients in North Carolina typically pay between $59.92 and $443.10 for a Chest CT Scan, with most facilities charging around the median rate of $195.94. Many imaging centers offer self-pay discounts of 20-40% off standard rates, and payment plans are commonly available for larger bills.

Does North Carolina Medicaid cover Chest CT Scan visits?

North Carolina has not expanded Medicaid, limiting coverage to specific populations including pregnant women, children, and disabled adults. For those who qualify, Medicaid does cover medically necessary Chest CT Scan procedures when ordered by a physician, though prior authorization may be required.

How do I find an affordable Chest CT Scan near me in North Carolina?

Compare prices between hospital-based centers and independent imaging facilities, as independents often charge 30-50% less. Ask about self-pay discounts if you're uninsured, consider traveling to rural areas where base rates may be lower, and check community health centers for sliding fee scale options.

What is the difference in cost between an initial consultation and a follow-up visit?

The pricing data shows Chest CT Scan procedures have consistent rates regardless of whether it's your first scan or a follow-up, with costs ranging from $59.92 to $443.10. However, the radiologist consultation fee and any additional physician visits may vary based on the complexity of your case and provider type.

Can I use an HSA or FSA to pay for a Chest CT Scan visit in North Carolina?

Yes, Chest CT Scan procedures are qualified medical expenses that can be paid for with HSA or FSA funds. Keep all receipts and documentation from your North Carolina imaging provider, as these accounts can cover both the imaging procedure and any related physician consultation fees.

How does telemedicine affect the cost of seeing a Chest CT Scan in North Carolina?

While the actual CT scan must be performed in person at an imaging facility, many North Carolina providers offer telehealth consultations to review results and discuss treatment plans. These virtual follow-up visits typically cost 20-30% less than in-person consultations and are widely covered by major insurers in the state.

Click a state to compare costs

Average Visit Cost

$131
$2,723

Office visit (CPT 71260)

Compare With Other States

RankStateAverage
1North Dakota
Range: $118$7,881
$2,723
2Minnesota
Range: $80$7,881
$2,711
3Wisconsin
Range: $73$863
$363
4Georgia
Range: $61$699
$319
5Wyoming
Range: $54$598
$287
6Nevada
Range: $80$453
$272
7Maine
Range: $93$439
$262
8Nebraska
Range: $108$415
$246
9Hawaii
Range: $67$348
$243
10New Mexico
Range: $52$505
$242
11Iowa
Range: $73$424
$237
12Vermont
Range: $49$516
$236
13North Carolina
Range: $60$443
$233
14New Hampshire
Range: $67$446
$232
15Massachusetts
Range: $64$454
$230
16Rhode Island
Range: $54$454
$226
17Alaska
Range: $54$449
$224
18District of Columbia
Range: $49$454
$223
19Colorado
Range: $55$441
$218
20Utah
Range: $54$374
$212
21California
Range: $25$521
$210
22Indiana
Range: $54$411
$206
23New York
Range: $42$443
$205
24Washington
Range: $54$384
$203
25Michigan
Range: $57$356
$195
26Illinois
Range: $64$346
$192
27Tennessee
Range: $61$333
$188
28Pennsylvania
Range: $50$389
$185
29West Virginia
Range: $64$317
$184
30Virginia
Range: $41$371
$182
31Idaho
Range: $54$321
$182
32New Jersey
Range: $41$371
$181
33Connecticut
Range: $54$389
$179
34Texas
Range: $54$345
$178
35South Carolina
Range: $54$339
$178
36Kansas
Range: $59$324
$178
37Oregon
Range: $70$291
$177
38South Dakota
Range: $134$222
$175
39Alabama
Range: $48$332
$173
40Delaware
Range: $61$273
$170
41Louisiana
Range: $48$288
$169
42Kentucky
Range: $54$335
$169
43Arkansas
Range: $61$278
$164
44Montana
Range: $54$263
$163
45Maryland
Range: $24$335
$161
46Mississippi
Range: $48$307
$160
47Missouri
Range: $64$265
$159
48Oklahoma
Range: $51$298
$154
49Ohio
Range: $41$298
$154
50Arizona
Range: $54$267
$145
51Florida
Range: $35$297
$131
CT Chest in Other States