CMS Price Transparency Data

CT scan, sinuses

Facility: Banner Casa Grande Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $156
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Banner Casa Grande Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 1800 East Florence Boulevard, Casa Grande, AZ.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $209 (196%)
Insurance Median: $156 (146%)
Cash: $209 (196% of Medicare)
Ins. Median: $156 (146% 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.

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
Arizona Physicians Ipa $79 - $113 74%
Banner University Health Plan $79 - $113 74%
Health Choice Arizona, Inc. $79 - $170 74%
Health Net $79 - $168 74%
Mercy Care $79 - $113 74%
Aetna $113 - $803 106%
Banner Health $113 106%
Blue Cross Blue Shield $113 - $381 106%
Care 1St $113 106%
Cigna $113 - $885 106%
Gila River Health Care Corporation $113 106%
Humana $113 - $120 106%
Kaiser Foundation Health Plan $113 106%
Triwest Healthcare Alliance Corp - Va Ccn $113 106%
UnitedHealthcare $113 - $552 106%
Upmc Health Plan $113 106%
Wellpoint $113 106%
Carelon $119 111%
Arizona Priority Care $125 117%
Devoted Health Services $125 117%
Gold Kidney Health Plan $125 117%
Naphcare $153 143%
Oscar Health Plan $170 159%
Hospice Of The Valley $533 499%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $685 641%
Plotkin Health $685 641%
Quiktrip Corporation $822 770%
Arizona Medical Network $1,066 998%
Provider Network Of America $1,142 1069%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 East Florence Boulevard, Casa Grande, AZ 85122
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals