CMS Price Transparency Data

CT scan, sinuses

Facility: Banner Gateway Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $163
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Banner Gateway Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $232 (217%)
Insurance Median: $163 (153%)
Cash: $232 (217% of Medicare)
Ins. Median: $163 (153% 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 - $879 106%
Banner Health $113 106%
Blue Cross Blue Shield $113 - $650 106%
Care 1St $113 106%
Cigna $113 - $1,238 106%
Gila River Health Care Corporation $113 106%
Humana $113 - $117 106%
Kaiser Foundation Health Plan $113 106%
Triwest Healthcare Alliance Corp - Va Ccn $113 106%
UnitedHealthcare $113 - $552 106%
Upmc Health Plan $113 106%
Wellpoint (Fka Amerigroup) $113 106%
Carekin $119 111%
Devoted Health Services $119 111%
Arizona Priority Care $125 117%
Gold Kidney Health Plan $125 117%
Oscar Health Plan $187 175%
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: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals