CMS Price Transparency Data

CT scan, sinuses

Facility: USA Health University Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $218
Cash Discount Price: $726
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at USA Health University Hospital is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $726. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.04x the Medicare baseline. Located in 2451 Fillingim Street, Mobile, AL.

Cash / Self-Pay

$726

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

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: $726 (680%)

Insurance Median: $218 (204%)

Cash: $726 (680% of Medicare)

Ins. Median: $218 (204% 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 204% of the Medicare baseline (a markup of 104%). 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
Central Healthcare Services	$63 - $1,213	59%
Magnolia Health	$81	76%
Truecare	$81	76%
UnitedHealthcare	$81 - $1,310	76%
Molina Chip	$90	84%
Viva Health	$106 - $1,213	99%
Blue Cross Blue Shield	$126	118%
Aetna	$128 - $500	120%
Cigna	$128 - $1,155	120%
Devoted Health	$128 - $1,698	120%
Humana	$128 - $1,577	120%
Wellcare	$128	120%
Multiplan	$138 - $2,183	129%
Molina Marketplace	$141	132%
Naphcare	$149 - $1,698	140%
Ambetter / Centene	$154	144%
Mississippi Physicians Care Network (Mpcn)	$173	162%
Novanet	$192 - $2,183	180%

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 $726.
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 USA Health University 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.