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HOSPITALVoluntary non-profit - Private

Novant Health Ballantyne Medical Center

Charlotte, NC

10905 PROVIDENCE ROAD W, Charlotte, NC 28277(980) 488-4000

Not rated by CMS

CMS star rating

34

Beds

2,752

Inpatient discharges a year

$118.4M

Net patient revenue a year

23

In-network payers

About this hospital

Novant Health Ballantyne Medical Center is a 34-bed voluntary non-profit - private hospital in Charlotte, NC. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 317 disclosed rate categories.

CCN
340195
NPI
1740998020
Teaching
No Medicare-funded residents
County
Mecklenburg County
Metro area
Charlotte-Concord-Gastonia, NC-SC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
2023
Last CMS survey
2023

Prices for common services

The 24 services Novant Health Ballantyne Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,634 - $4,600

from 4 insurers · median $4,052

UnitedHealthcare$3,766
Insurer A*$3,634
Insurer B*$4,338
Insurer C*$4,600
Medicare $3,074

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$337 - $3,294

from 4 insurers · median $874

Aetna$412
Insurer A*$337
Insurer B*$1,336
Insurer C*$3,294
Medicare $331

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$215 - $2,678

from 4 insurers · median $2,249

Aetna$2,182
Insurer A*$215
Insurer B*$2,315
Insurer C*$2,678
Medicare $227

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$4,880 - $10,647

from 4 insurers · median $6,744

Aetna$7,437
Insurer A*$4,880
Insurer B*$6,051
Insurer C*$10,647
Medicare $5,741

11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Novant Health Ballantyne Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
416%
00
Insurer B*24
322%
00
Insurer C*24
216%
00
Insurer D*23
172%
00

How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Novant Health Ballantyne Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

  • Quality

    Not rated by CMS

    • 192 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 463 affiliated clinicians
    See doctors and services
  • Finances

    $118.4M net patient revenue

    • Operating margin on patient care 15.0%
    • $3.5M unreimbursed and uncompensated care
    • $18.9M net income
    See finances
  • Ownership and leadership

    Owned by Novant Health, Inc.

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Novant Health Ballantyne Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
86-3305323Novant Health Ballantyne Medical Center53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1740998020 Novant Health Ballantyne Medical Center LLC1760190607 Novant Health Ballantyne Medical Center LLC1154857662 Presbyterian Sameday Surgery Center At Ballantyne LLCand 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

10905 PROVIDENCE ROAD W, Charlotte, NC 28277

(980) 488-4000

Get directions

Frequently asked questions

About Novant Health Ballantyne Medical Center's rates and hospital price transparency.

How much does an MRI cost at Novant Health Ballantyne Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Novant Health Ballantyne Medical Center range from $730 to $2,941 across 4 insurers. Blue Cross Blue Shield's rate is $730. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Novant Health Ballantyne Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Novant Health Ballantyne Medical Center range from $337 to $3,294 across 4 insurers. Aetna's rate is $412. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Novant Health Ballantyne Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Novant Health Ballantyne Medical Center range from $902 to $1,388 across 4 insurers. Cigna's rate is $944. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Novant Health Ballantyne Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Novant Health Ballantyne Medical Center range from $176 to $560 across 4 insurers. UnitedHealthcare's rate is $220. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Novant Health Ballantyne Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Novant Health Ballantyne Medical Center for fiscal year 2027.

Does Medicare penalize Novant Health Ballantyne Medical Center for readmissions?

No. Novant Health Ballantyne Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Novant Health Ballantyne Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (61 discharges), heart failure and shock with mcc (46 discharges), respiratory infections and inflammations with mcc (26 discharges).

What is Novant Health Ballantyne Medical Center's case mix index?

Novant Health Ballantyne Medical Center's Medicare case mix index is 1.30 for fiscal year 2027, higher than 11% of hospitals paid under the inpatient prospective payment system.

How many patients does Novant Health Ballantyne Medical Center admit?

Novant Health Ballantyne Medical Center reported 2,752 inpatient discharges and 8,264 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Novant Health Ballantyne Medical Center have?

Novant Health Ballantyne Medical Center reported 300 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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