CMS Price Transparency Data

CT scan, sinuses

Facility: Northwest Medical Center Sahuarita

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $113
  • Cash Discount Price: $1,660
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Northwest Medical Center Sahuarita is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,660. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$1,660

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $1,660 (1554%)
Insurance Median: $113 (106%)
Cash: $1,660 (1554% of Medicare)
Ins. Median: $113 (106% 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
Medicaid / KanCare $78 - $84 73%
Mercy Care $78 - $110 73%
Aetna $110 - $133 103%
Blue Cross Blue Shield $110 - $781 103%
Cigna $110 - $1,055 103%
Humana $110 103%
Medicare (plans) $110 103%
Node Caremore Mcr Adv $110 103%
Node Mercy Care Mcr Adv $110 103%
UnitedHealthcare $110 - $240 103%
Department Of Veterans Affairs $112 105%
Node Champva $112 105%
Node Non Par Hospice Agree $112 105%
Node Triwest $112 - $119 105%
Node Va $112 105%
Tricare $112 105%
Node Clover Health Mcr Adv $113 106%
Node Devoted Health Mcr Adv $113 106%
Banner Mcr Adv $115 108%
Node Banner Mcr Adv $115 108%
Node Wellcare Mcr Adv $115 108%
Node Us Dept Of Labor $139 130%
Ambetter / Centene $157 147%
Node Health Choice Health Exchange $166 155%
Node Fusion Network $201 188%
Node J Allen Inmate Health Svcs $212 198%
Self Pay $1,049 - $2,272 982%
Coventry Work Comp Al $3,496 3273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals