CMS Price Transparency Data

CT scan, sinuses

Facility: University of Alabama Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $3,131
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 29.31x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at University of Alabama Hospital is $3,131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 29.31x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,131

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%)
Insurance Median: $3,131 (2931%)
Ins. Median: $3,131 (2931% 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 2931% of the Medicare baseline (a markup of 2831%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $88 - $3,982 82%
Birmingham Fc $95 89%
Blue Cross Blue Shield $95 89%
Cooper Green $95 89%
Davita Villagehealth $95 89%
Jefferson County Sheriff $95 89%
Triwest $95 89%
UnitedHealthcare $95 - $2,548 89%
Viva $96 - $129 90%
Cigna $102 - $3,139 95%
Ambetter / Centene $131 123%
University Of Alabama $1,600 - $2,342 1498%
Aetna $1,953 - $2,858 1828%
Coventry $2,081 - $3,783 1948%
North Alabama Managed Care $2,081 - $3,045 1948%
Comp One $2,305 - $3,373 2158%
Construction Claims Management $2,394 - $3,504 2241%
Alamed $2,401 - $3,514 2248%
Corvel $2,561 - $3,748 2398%
Evolutions $2,561 - $4,216 2398%
Healthcare Alliance $2,561 - $3,748 2398%
Novanet $2,561 - $4,216 2398%
Prime Health Services $2,561 - $4,216 2398%
Select Value Care $2,561 - $3,748 2398%
Starcare $2,561 - $3,748 2398%
Tethys $2,561 - $3,748 2398%
Multiplan $2,625 - $3,842 2458%
Department Of Labor $2,721 - $3,982 2548%
Geha $2,721 - $3,982 2548%
Gulf Health Plans $2,721 - $3,982 2548%
Heritage Summit Health $2,721 - $3,982 2548%
Mississippi Physicians $2,721 - $3,982 2548%
Phifer $2,721 - $3,982 2548%
Preferred Health Partnership $2,721 - $3,982 2548%
Southern Nuclear $2,721 - $3,982 2548%
Vantage Health Plan $2,721 - $3,982 2548%
Galaxy Health Network $2,881 - $4,216 2697%
National Provider Network $2,881 - $4,216 2697%
North Mississippi Health Link $2,881 - $4,216 2697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals