CMS Price Transparency Data

CT scan, sinuses

Facility: St Rose Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$185

about 1.7× the $107 Medicare rate · typically $151–$345

modeled estimate · not a bill or quote

What this hospital charges insurers

$152

Below the fair price — a good deal

about $33 under the fair price · 1.4× Medicare

Medicare pays $107 Fair price $185 This hospital $152 Cash price $1,186 Hospital's list price $3,953

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $152

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $185 (about 1.7× the $107 Medicare rate). St Rose Hospital charges insurers about $152, or about $1,186 in cash — below the fair price — a good deal. Located in Hayward, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$126 - $1,900	118%
Blue Cross Blue Shieldmajor	$372 - $381	348%
Aetnamajor	$149 - $750	140%
Cignamajor	$126 - $2,965	118%
Humanamajor	$149	140%
Kaiser Permanentemajor	$3,163	2961%
Health Net	$126 - $2,767	118%
+ 4 smaller / regional plans	$141 - $282

Government programs also on file: Medicare.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,186), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm St Rose Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Rose Hospital

Compare: CT scan, sinuses at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.