CMS Price Transparency Data

CT scan, sinuses

Facility: Ochsner Choctaw General

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $220
Cash Discount Price: $933
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Ochsner Choctaw General is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $933. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.06x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$933

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $933 (874%)

Insurance Median: $220 (206%)

Cash: $933 (874% of Medicare)

Ins. Median: $220 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Humana	$30 - $742	28%
Prime Health Services Ppo	$43 - $1,320	40%
UnitedHealthcare	$50 - $908	47%
Blue Cross Blue Shield	$63 - $359	59%
Primewell Health Services Commercial Exchange Plan	$71 - $1,106	66%
Primewell Health Services – Commercial	$71 - $1,106	66%
Claritev D/B/A Multiplan/Phcs/American Life Care	$79 - $1,238	74%
Medicaid / KanCare	$81 - $113	76%
Aetna	$85 - $1,072	80%
Cigna	$88 - $742	82%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$113 - $742	106%
Medicare (plans)	$113 - $854	106%
Shared Health Mississippi	$118 - $780	110%
Select Administrative Services Network	$141 - $1,155	132%
Zelis	$160 - $1,238	150%
Prime Health Services Ppo -Workers Comp	$180 - $1,317	169%
Cor Vel	$182 - $1,344	170%
Ambetter / Centene	$366 - $750	343%

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 $933.
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 Ochsner Choctaw General 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.