CMS Price Transparency Data

CT scan, sinuses

Facility: Dignity Health East Valley Rehabilitation Hospital-Gilbert

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,842
Cash Discount Price: $2,842
vs. Medicare Baseline: 26.61x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Dignity Health East Valley Rehabilitation Hospital-Gilbert is $2,842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,842. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.61x the Medicare baseline. Located in 1850 S San Tan Village Pkwy, Gilbert, AZ.

Cash / Self-Pay

$2,842

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,842

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: $2,842 (2661%)

Insurance Median: $2,842 (2661%)

Cash: $2,842 (2661% of Medicare)

Ins. Median: $2,842 (2661% 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 2661% of the Medicare baseline (a markup of 2561%). 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
Aetna	$2,842	2661%
Ahcccs	$2,842	2661%
Arizona Care Network	$2,842	2661%
Banner Univ	$2,842	2661%
Blue Cross Blue Shield	$2,842	2661%
Cigna	$2,842	2661%
Health Choice	$2,842	2661%
Humana	$2,842	2661%
Mercycare	$2,842	2661%
Mercycare Advantage	$2,842	2661%
Mercycare Rhba (Regional Health Behavioral Authority)	$2,842	2661%
UnitedHealthcare	$2,842	2661%

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 $2,842.
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 Dignity Health East Valley Rehabilitation Hospital-Gilbert 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.