CMS Price Transparency Data

CT scan, sinuses

Facility: South Peninsula Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,367
Cash Discount Price: $1,392
vs. Medicare Baseline: 12.80x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at South Peninsula Hospital is $1,367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,392. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.80x the Medicare baseline. Located in 4300 Bartlett St, Homer, AK.

Cash / Self-Pay

$1,392

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,367

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,392 (1303%)

Insurance Median: $1,367 (1280%)

Cash: $1,392 (1303% of Medicare)

Ins. Median: $1,367 (1280% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1280% of the Medicare baseline (a markup of 1180%). 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
Liberty Healthshare - All Plans	$80 - $2,260	75%
UnitedHealthcare	$134 - $2,971	125%
Premera First - All Plans	$183 - $3,003	171%
Blue Cross Blue Shield	$214 - $3,003	200%
Aetna	$412 - $2,745	386%
Geha - All Plans	$436 - $2,906	408%
Meritain - All Plans	$436 - $2,906	408%
Teamsters Emply - All Plans	$436 - $2,906	408%
Ufcw - All Plans	$436 - $2,906	408%
Cigna	$460 - $3,067	431%
Great West - All Plans	$460 - $3,067	431%
Moda - All Plans	$460 - $3,067	431%
Multiplan Phcs - All Plans	$460 - $3,067	431%
Pmcs - All Plans	$460 - $3,067	431%
First Choice Health - All Plans	$474 - $3,164	444%

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 $1,392.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Peninsula Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
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.