CMS Price Transparency Data

CT scan, sinuses

Facility: White River Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $108
Cash Discount Price: $228
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at White River Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 1710 Harrison Street, Batesville, AR.

Cash / Self-Pay

$228

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $228 (213%)

Insurance Median: $108 (101%)

Cash: $228 (213% of Medicare)

Ins. Median: $108 (101% 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.

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
Aetna	$47 - $271	44%
Arkansas Total Care	$47	44%
Summit Community Care	$47	44%
Arkansas Superior Select Wrmc	$104	97%
Blue Cross Blue Shield	$104 - $108	97%
Hmo Partners Inc Wrmc	$104	97%
Medipak Advantage Wrmc	$104	97%
UnitedHealthcare	$104	97%
Medicare (plans)	$106	99%
Cigna	$107	100%
Allwell Wrmc	$109	102%
Wellcare Wrmc	$109	102%
Ambetter / Centene	$146	137%
Qualchoice (Alliance) Wrmc	$160	150%
Provider Network Of America Wrmc	$167	156%
Municipal Health Benefit Fund	$168 - $172	157%
Multiplan	$210 - $216	197%
Vantage Health Plan Wrmc	$292	273%

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 $228.
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 White River Medical Center 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.