▸ Hospital · NC · CCN 340187
Davie Medical Center
329 NC HIGHWAY 801 N, BERMUDA RUN, NC, 27006-7905
42 beds2
Compliance grade
A
100/100
Procedures tracked
176
of 209 target codes
Payers
27
with negotiated rates
Rates published
57,909
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 19 | — | — | $13,796 | $18,976 | $22,759 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 27 | $295 | $147.5 | $58.41 | $112.55 | $265.5 |
| Psychiatric eval with medical services | CPT | 90792 | 27 | $596 | $298 | $118.01 | $186.55 | $536.4 |
| Psychotherapy 30 minutes | CPT | 90832 | 27 | $111 | $55.5 | $21.98 | $42.35 | $178.86 |
| Psychotherapy 45 minutes | CPT | 90834 | 27 | $145 | $72.5 | $28.71 | $55.32 | $178.86 |
| Psychotherapy 60 minutes | CPT | 90837 | 27 | $216 | $108 | $42.77 | $82.41 | $194.4 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 27 | $215 | $107.5 | $42.57 | $82.03 | $193.5 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 27 | $640 | $320 | $85.23 | $195.84 | $576 |
| ED visit level 2 | CPT | 99282 | 27 | $1,071 | $535.5 | $153.3 | $327.73 | $963.9 |
| ED visit level 3 | CPT | 99283 | 27 | $1,980 | $990 | $268.04 | $605.88 | $1,782 |
| ED visit level 4 | CPT | 99284 | 27 | $3,311 | $1,655.5 | $412.2 | $1,013.17 | $3,343 |
| ED visit level 5 | CPT | 99285 | 27 | $4,700 | $2,350 | $593.49 | $1,438.2 | $4,230 |
| Critical care, first hour | CPT | 99291 | 27 | $3,046 | $1,523 | $497.41 | $932.08 | $2,741.4 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 27 | $2,157 | $1,078.5 | $102.94 | $703.18 | $1,941.3 |
| CT head with contrast | CPT | 70460 | 27 | $3,042 | $1,521 | $172.33 | $991.69 | $2,737.8 |
| CT head with and without contrast | CPT | 70470 | 27 | $3,559 | $1,779.5 | $172.33 | $1,101.51 | $3,203.1 |
| CT neck with contrast | CPT | 70491 | 27 | $2,909 | $1,454.5 | $172.33 | $948.33 | $2,618.1 |
| MRI brain without contrast | CPT | 70551 | 27 | $2,228 | $1,114 | $233.99 | $726.33 | $2,005.2 |
| MRI brain with contrast | CPT | 70552 | 27 | $5,457 | $2,728.5 | $345.71 | $1,686 | $4,911.3 |
| MRI brain with and without contrast | CPT | 70553 | 27 | $4,546 | $2,273 | $345.71 | $1,482 | $4,091.4 |
| Chest X-ray single view | CPT | 71045 | 27 | $331 | $165.5 | $65.54 | $106.25 | $297.9 |
| Chest X-ray 2 views | CPT | 71046 | 27 | $410 | $205 | $81.18 | $131.61 | $369 |
| Chest X-ray 3 views | CPT | 71047 | 27 | $497 | $248.5 | $85.23 | $159.54 | $447.3 |
| CT chest without contrast | CPT | 71250 | 27 | $1,229 | $614.5 | $102.94 | $400.65 | $1,178 |
| CT chest with contrast | CPT | 71260 | 27 | $2,731 | $1,365.5 | $172.33 | $890.31 | $2,457.9 |
| CT chest with and without contrast | CPT | 71270 | 27 | $2,266 | $1,133 | $172.33 | $738.72 | $2,039.4 |
| MRI chest without contrast | CPT | 71550 | 27 | $2,401 | $1,200.5 | $233.99 | $782.73 | $2,160.9 |
| MRI chest with contrast | CPT | 71551 | 11 | — | — | $764.79 | $764.79 | $879.51 |
| MRI chest with and without contrast | CPT | 71552 | 27 | $4,442 | $2,221 | $345.71 | $1,448.09 | $3,997.8 |
| Lumbosacral spine X-ray | CPT | 72100 | 27 | $409 | $204.5 | $80.98 | $131.29 | $368.1 |
| CT cervical spine without contrast | CPT | 72125 | 27 | $2,612 | $1,306 | $102.94 | $851.51 | $2,350.8 |
| CT thoracic spine without contrast | CPT | 72128 | 27 | $2,166 | $1,083 | $102.94 | $706.12 | $1,949.4 |
| CT lumbar spine without contrast | CPT | 72131 | 27 | $1,234 | $617 | $102.94 | $402.28 | $1,178 |
| MRI cervical spine without contrast | CPT | 72141 | 27 | $2,513 | $1,256.5 | $233.99 | $819.24 | $2,261.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 27 | $2,664 | $1,332 | $233.99 | $868.46 | $2,397.6 |
| MRI lumbar spine without contrast | CPT | 72148 | 27 | $2,706 | $1,353 | $233.99 | $882.16 | $2,435.4 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 27 | $5,011 | $2,505.5 | $345.71 | $1,633.59 | $4,509.9 |
| MRI cervical spine with and without contrast | CPT | 72156 | 27 | $4,654 | $2,327 | $345.71 | $1,517.2 | $4,188.6 |
| MRI lumbar spine with contrast | CPT | 72158 | 27 | $5,011 | $2,505.5 | $345.71 | $1,633.59 | $4,509.9 |
| CT pelvis without contrast | CPT | 72192 | 27 | $1,305 | $652.5 | $102.94 | $425.43 | $1,178 |
| CT pelvis with contrast | CPT | 72193 | 27 | $2,774 | $1,387 | $172.33 | $904.32 | $2,496.6 |
| Shoulder X-ray | CPT | 73030 | 27 | $431 | $215.5 | $85.23 | $138.35 | $387.9 |
| Humerus X-ray | CPT | 73060 | 27 | $312 | $156 | $61.78 | $100.15 | $280.8 |
| Hand X-ray 3 views | CPT | 73130 | 27 | $379 | $189.5 | $75.04 | $121.66 | $341.1 |
| MRI upper extremity joint without contrast | CPT | 73221 | 27 | $3,326 | $1,663 | $233.99 | $1,084.28 | $2,993.4 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 27 | $6,186 | $3,093 | $345.71 | $1,855.8 | $5,567.4 |
| Knee X-ray 1-2 views | CPT | 73560 | 27 | $327 | $163.5 | $64.75 | $104.97 | $294.3 |
| Ankle X-ray 3 views | CPT | 73610 | 27 | $341 | $170.5 | $67.52 | $109.46 | $306.9 |
| MRI lower extremity joint without contrast | CPT | 73721 | 27 | $3,312 | $1,656 | $233.99 | $1,079.71 | $2,980.8 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 27 | $6,161 | $3,080.5 | $345.71 | $1,848.3 | $5,544.9 |
| CT abdomen without contrast | CPT | 74150 | 27 | $2,636 | $1,318 | $102.94 | $859.34 | $2,372.4 |
| CT abdomen with contrast | CPT | 74160 | 27 | $4,062 | $2,031 | $172.33 | $1,218.6 | $3,655.8 |
| CT abdomen with and without contrast | CPT | 74170 | 27 | $4,611 | $2,305.5 | $172.33 | $1,383.3 | $4,149.9 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 27 | $3,513 | $1,756.5 | $233.99 | $1,087.27 | $3,161.7 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 27 | $5,490 | $2,745 | $345.71 | $1,647 | $4,941 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 27 | $6,204 | $3,102 | $345.71 | $1,861.2 | $5,583.6 |
| MRI abdomen without contrast | CPT | 74181 | 27 | $2,568 | $1,284 | $233.99 | $837.17 | $2,311.2 |
| MRI abdomen with and without contrast | CPT | 74183 | 27 | $4,754 | $2,377 | $345.71 | $1,549.8 | $4,278.6 |
| Abdominal ultrasound complete | CPT | 76700 | 27 | $947 | $473.5 | $102.94 | $305.03 | $852.3 |
| Abdominal ultrasound limited | CPT | 76705 | 27 | $707 | $353.5 | $102.94 | $227.72 | $636.3 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 27 | $882 | $441 | $102.94 | $284.09 | $793.8 |
| Obstetric ultrasound first trimester | CPT | 76801 | 27 | $576 | $288 | $102.94 | $185.53 | $518.4 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 27 | $662 | $331 | $102.94 | $213.23 | $595.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 27 | $928 | $464 | $183.74 | $298.91 | $835.2 |
| Transvaginal ultrasound | CPT | 76830 | 27 | $837 | $418.5 | $102.94 | $269.6 | $753.3 |
| Pelvic ultrasound complete | CPT | 76856 | 27 | $1,020 | $510 | $102.94 | $328.54 | $918 |
| Scrotal ultrasound | CPT | 76870 | 27 | $800 | $400 | $102.94 | $257.68 | $720 |
| Diagnostic mammography unilateral | CPT | 77065 | 27 | $938 | $469 | $78.61 | $287.03 | $844.2 |
| Diagnostic mammography bilateral | CPT | 77066 | 27 | $1,422 | $711 | $100.17 | $435.13 | $1,279.8 |
| Screening mammography bilateral | CPT | 77067 | 27 | $345 | $172.5 | $68.31 | $112.47 | $310.5 |
| EKG tracing only | CPT | 93005 | 27 | $389 | $194.5 | $57.5 | $119.03 | $350.1 |
| Transthoracic echocardiogram complete | CPT | 93306 | 27 | $4,216 | $2,108 | $530.77 | $1,290.1 | $3,794.4 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | — | — | $233.99 | $233.99 | $269.09 |
| Stress echocardiogram | CPT | 93350 | 27 | $2,629 | $1,314.5 | $450.61 | $804.47 | $2,366.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $19,468 | $24,169 | $32,118 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $9,952.4 | $15,216 | $17,777 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $6,736.39 | $10,299 | $14,391 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $15,821 | $20,830 | $26,100 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $10,991 | $16,408 | $18,870 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $8,408.01 | $12,855 | $16,151 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $6,334.15 | $9,684.38 | $13,968 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $8,025.34 | $12,270 | $15,748 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $6,094.36 | $9,317.78 | $13,715 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $16,064 | $21,053 | $26,502 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $9,021.66 | $13,793 | $16,797 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $7,096.55 | $10,850 | $14,770 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $12,770 | $18,037 | $21,067 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $8,428.56 | $12,887 | $16,172 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $5,370.13 | $8,210.48 | $12,953 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $11,802 | $17,151 | $19,724 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $7,235.53 | $11,063 | $14,916 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $5,475.83 | $8,372.08 | $13,064 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $9,649 | $14,753 | $17,457 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $6,231.38 | $9,527.27 | $13,859 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $7,636.8 | $11,676 | $15,339 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $14,924 | $20,009 | $24,621 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $11,454 | $16,832 | $19,357 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $7,855.05 | $12,010 | $15,569 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $19,203 | $23,926 | $31,680 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $10,090 | $15,396 | $17,922 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 27 | $193 | $96.5 | $8.46 | $59.06 | $173.7 |
| General health panel | CPT | 80050 | 10 | — | — | $16.45 | $16.62 | $56.74 |
| Electrolyte panel | CPT | 80051 | 27 | $108 | $54 | $7.01 | $33.05 | $97.2 |
| Comprehensive metabolic panel | CPT | 80053 | 27 | $431 | $215.5 | $10.56 | $131.89 | $387.9 |
| Lipid panel | CPT | 80061 | 27 | $276 | $138 | $13.39 | $84.46 | $248.4 |
| Renal function panel | CPT | 80069 | 27 | $169 | $84.5 | $8.68 | $51.71 | $152.1 |
| Hepatic function panel | CPT | 80076 | 27 | $161 | $80.5 | $8.17 | $49.27 | $144.9 |
| Urinalysis non-automated | CPT | 81002 | 27 | $38 | $19 | $3.48 | $11.63 | $34.2 |
| Urinalysis automated | CPT | 81003 | 27 | $34 | $17 | $2.25 | $10.4 | $30.6 |
| Glucose quantitative | CPT | 82947 | 27 | $23 | $11.5 | $3.93 | $7.21 | $20.7 |
| Hemoglobin A1c | CPT | 83036 | 27 | $108 | $54 | $9.71 | $33.05 | $97.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 27 | $191 | $95.5 | $16.8 | $58.45 | $171.9 |
| Complete blood count with automated differential | CPT | 85025 | 27 | $167 | $83.5 | $7.77 | $51.1 | $150.3 |
| Complete blood count without differential | CPT | 85027 | 27 | $100 | $50 | $6.47 | $30.6 | $90 |
| Urine culture bacterial | CPT | 87086 | 27 | $42.37 | $21.19 | $8.07 | $14.67 | $38.13 |
| Urine culture identification | CPT | 87088 | 27 | $68 | $34 | $8.09 | $20.81 | $61.2 |
| Tissue exam by pathologist level IV | CPT | 88305 | 27 | $326 | $163 | $51.72 | $117.36 | $293.4 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 27 | $419 | $209.5 | $82.96 | $168.02 | $1,741 |
| Vaginal delivery only | CPT | 59409 | 27 | $11,780 | $5,890 | $1,923.67 | $3,604.68 | $10,602 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $907.58 | $907.58 | $4,094 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $907.58 | $907.58 | $4,094 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 27 | $1,769 | $884.5 | $288.88 | $709.37 | $3,227 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $882.55 | $882.55 | $3,227 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $882.55 | $882.55 | $4,094 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $1,141.37 | $1,141.37 | $4,094 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $1,141.37 | $1,141.37 | $4,094 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | — | — | $10,829 | $17,802 | $20,472 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $10,385 | $10,385 | $10,385 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $10,829 | $12,455 | $14,324 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $10,829 | $12,455 | $14,324 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $10,829 | $10,829 | $10,829 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $10,829 | $10,829 | $10,829 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $1,741 | $1,741 | $1,741 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $6,915.27 | $6,915.27 | $10,385 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $3,140.85 | $3,140.85 | $6,505 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $6,915.27 | $6,915.27 | $14,537 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $44,941 | $47,487 | $74,141 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $23,134 | $27,524 | $38,164 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $16,158 | $21,139 | $26,657 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $4,086 | $4,086 | $4,086 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $4,086 | $4,086 | $4,086 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $4,086 | $4,086 | $4,086 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $4,086 | $4,086 | $4,086 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $16,231 | $21,205 | $26,777 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $12,895 | $18,152 | $21,274 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $34,543 | $37,968 | $56,987 |
| Open appendectomy | CPT | 44950 | 11 | — | — | $6,040.2 | $6,040.2 | $6,946.23 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $31,991 | $35,632 | $52,776 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $18,453 | $23,240 | $30,443 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $28,784 | $32,696 | $47,485 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $20,307 | $24,937 | $33,501 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $15,526 | $20,560 | $25,614 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $6,505 | $6,505 | $6,505 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $4,778.58 | $4,778.58 | $6,505 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $10,078 | $10,078 | $11,590 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $5,647.78 | $5,647.78 | $10,385 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 19 | — | — | $26,684 | $30,774 | $44,022 |
| OR procedure for obesity w CC | MS-DRG | 620 | 19 | — | — | $15,630 | $20,655 | $25,785 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 19 | — | — | $14,307 | $19,444 | $23,602 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $2,207.79 | $2,207.79 | $4,925 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $2,207.79 | $2,207.79 | $4,925 |
| Intravitreal injection | CPT | 67028 | 27 | $1,103 | $551.5 | $180.12 | $337.52 | $1,741 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $3,894.21 | $3,894.21 | $9,297 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $11,732 | $17,087 | $19,650 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $19,124 | $23,853 | $31,549 |
| PCI single major coronary artery | CPT | 92920 | 27 | $15,939 | $7,969.5 | $3,155.92 | $5,519.19 | $22,798 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | — | — | $10,978 | $10,978 | $22,798 |
| PCI bypass graft | CPT | 92937 | 27 | $22,929 | $11,465 | $4,539.94 | $10,385 | $22,798 |
| Left heart catheterization | CPT | 93452 | 27 | $14,295 | $7,147.5 | $2,391.55 | $4,374.27 | $12,866 |
| Coronary angiography with cath | CPT | 93455 | 27 | $7,713 | $3,856.5 | $1,290.38 | $3,113.55 | $9,297 |
| Coronary angiography with bypass cath | CPT | 93458 | 27 | $18,498 | $9,249 | $3,094.72 | $5,660.39 | $16,648 |
Payer mix (top 27)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 176 | $1,521.56 |
| WellCare | 167 | $606.59 |
| Aetna | 166 | $508.91 |
| apex | 166 | $345.71 |
| Blue Cross Blue Shield | 166 | $918.4 |
| Cigna | 166 | $1,047.3 |
| devoted | 166 | $345.71 |
| healthteam | 166 | $345.71 |
| Humana | 166 | $585.84 |
| liberty | 166 | $397.57 |
| Medicare | 166 | $349.17 |
| health blue | 140 | $687.95 |
| trillium | 140 | $708.65 |
| carolina complete | 140 | $687.95 |
| partners | 140 | $687.95 |
| alliance | 140 | $701.64 |
| amerihealth | 140 | $748.51 |
| vaya | 140 | $694.95 |
| Ambetter | 139 | $822.42 |
| medcost | 97 | $470.16 |
| directnet | 96 | $727.82 |
| healthgram | 96 | $862.05 |
| Multiplan | 96 | $1,108.35 |
| oscar | 96 | $394.29 |
| cone health | 96 | $862.05 |
| private healthcare systems | 96 | $1,009.83 |
| first carolina care | 96 | $985.2 |