CMS Price Transparency Data
CT scan, sinuses
Facility: Saint Agnes Medical Center
Billing Code: 70486 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70486
- Insurance Median: $36
- Cash Discount Price: $102
- vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Saint Agnes Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.34x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$102
Average discount available for prompt cash payment at this facility.
Insurance Median
$36
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: $102 (95%)
Insurance Median: $36 (34%)
Cash: $102 (95% of Medicare)
Ins. Median: $36 (34% 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
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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 | $25 - $102 | 23% |
| Aetna | $36 - $918 | 34% |
| Albany County Correctional Facility | $36 | 34% |
| Ambetter / Centene | $36 | 34% |
| Amish Mennonite | $36 | 34% |
| Andrie Inc | $36 | 34% |
| Ascension St. Vincent Public Safety Medical | $36 | 34% |
| Bcccp-Michigan | $36 | 34% |
| Bccp | $36 | 34% |
| Blue Cross Blue Shield | $36 - $1,029 | 34% |
| Bmc Healthnet | $36 | 34% |
| Breast Grant-Connecticut | $36 | 34% |
| Broward County Dept Of Health | $36 | 34% |
| California Health And Wellness | $36 | 34% |
| Can Community Health Inc | $36 | 34% |
| Cardinal Innovations Lme | $36 | 34% |
| Care Connections Of Northern Iowa | $36 | 34% |
| Care Oregon Ohp | $36 | 34% |
| Cencal Health Plan | $36 | 34% |
| Cenpatico | $36 | 34% |
| Chhuny | $36 | 34% |
| Childrens Comm Health Plan | $36 | 34% |
| Childrens Medical Services Title 19 | $36 | 34% |
| Cigna | $36 - $1,395 | 34% |
| City Of Philadelphia | $36 | 34% |
| Cmh Allegan County | $36 | 34% |
| Cmh Ausable Valley | $36 | 34% |
| Cmh Barry County | $36 | 34% |
| Cmh Bay-Arenac County | $36 | 34% |
| Cmh Berrien County | $36 | 34% |
| Cmh Cass County | $36 | 34% |
| Cmh Central Mi County | $36 | 34% |
| Cmh Clinton-Eaton-Ingham County | $36 | 34% |
| Cmh Detroit Wayne Integrated Health Network | $36 | 34% |
| Cmh Genesee County | $36 | 34% |
| Cmh Ionia County | $36 | 34% |
| Cmh Jackson County/Lifeways | $36 | 34% |
| Cmh Kalamazoo | $36 | 34% |
| Cmh Kent County | $36 | 34% |
| Cmh Lenawee County | $36 | 34% |
| Cmh Livingston County | $36 | 34% |
| Cmh Macomb | $36 | 34% |
| Cmh Misc | $36 | 34% |
| Cmh Monroe County | $36 | 34% |
| Cmh Montcalm County | $36 | 34% |
| Cmh Muskegon County | $36 | 34% |
| Cmh Newaygo County | $36 | 34% |
| Cmh North Country | $36 | 34% |
| Cmh Northern Lakes County | $36 | 34% |
| Cmh Oakland County | $36 | 34% |
| Cmh Ottawa County | $36 | 34% |
| Cmh Van Buren County | $36 | 34% |
| Cmh Washtenaw County | $36 | 34% |
| Cmh Wayne County/Carelink | $36 | 34% |
| Cmh Wayne Cty/Com Liv Svcs | $36 | 34% |
| Cmh West Mi County | $36 | 34% |
| Community Benefit Health | $36 | 34% |
| Community Care Behavorial Health | $36 | 34% |
| Community Care Partners | $36 | 34% |
| Community Health Choice | $36 | 34% |
| Connections Csp | $36 | 34% |
| County Coroner | $36 | 34% |
| County Funding Generic | $36 | 34% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $36 | 34% |
| Dean Wi Badgercare | $36 | 34% |
| Delaware County Department Of Health | $36 | 34% |
| Delaware First Health | $36 | 34% |
| Delta Dental Nj | $36 | 34% |
| Dph Tb Program | $36 | 34% |
| Dscc | $36 | 34% |
| East Greenbush Central School District | $36 | 34% |
| Eastpointe Lme | $36 | 34% |
| Family Health Network | $36 | 34% |
| Freedom First Healthcare | $36 | 34% |
| Fresno County Ccs | $36 | 34% |
| Genex Wc | $36 | 34% |
| Ghc Scw Wi Badgercare | $36 | 34% |
| Harbor Health | $36 | 34% |
| Health Safety Net | $36 | 34% |
| Healthsmart Workers Comp | $36 | 34% |
| Healthy Blue Ne | $36 | 34% |
| Hennepin Health | $36 | 34% |
| Humana | $36 - $138 | 34% |
| Id County Ada | $36 | 34% |
| Id County Canyon | $36 | 34% |
| Id County Cat Fund | $36 | 34% |
| Id County Other | $36 | 34% |
| Id County Payette | $36 | 34% |
| Idaho Dept Health And Wellfare | $36 | 34% |
| Idaho Womens Health Check | $36 | 34% |
| Indiana Breast Cervical Cancer | $36 | 34% |
| Inland Empire Health Plan | $36 | 34% |
| Intercommunity Health Ohp | $36 | 34% |
| Iowa Total Care | $36 | 34% |
| Jag Source | $36 | 34% |
| Jai Medical System | $36 | 34% |
| Kern Family Health Plan | $36 | 34% |
| Keystone First | $36 | 34% |
| Keystone First Chip | $36 | 34% |
| La Care Health Plan | $36 | 34% |
| Lakeland Care Inc | $36 | 34% |
| Managed Health Services - Indiana | $36 | 34% |
| Maryland Breast & Cervical Program | $36 | 34% |
| Maryland Healthy Smiles - Scion Dental | $36 | 34% |
| Maryland Physicians Care | $36 | 34% |
| Massachusetts Behavioral Health Partnership | $36 | 34% |
| Mdwise | $36 | 34% |
| Medi-Cal | $36 | 34% |
| Medi-Cal Healthnet | $36 - $57 | 34% |
| Medstar Dc Healthy Family | $36 | 34% |
| Medstar Md Health Choice | $36 | 34% |
| Mo Home State Health Plan | $36 | 34% |
| Molina Centennial Care | $36 | 34% |
| Nascentia Health Options | $36 | 34% |
| Nebraska Total Care | $36 | 34% |
| New York Cancer Services Program | $36 | 34% |
| New York State Insurance Fund | $36 | 34% |
| Nextlevel Health | $36 | 34% |
| Njm Insurance Group | $36 | 34% |
| Oregon Screenwise | $36 | 34% |
| Pace Of Southwest Michigan | $36 - $40 | 34% |
| Paramount Advantage | $36 | 34% |
| Parkland Community Health Plan | $36 | 34% |
| Partners Behavioral Lme | $36 | 34% |
| Peach State Healthplan | $36 | 34% |
| Philadelphia County Funding | $36 | 34% |
| Presbyterian Centennial Care | $36 | 34% |
| Prestige Health Choice | $36 | 34% |
| Priority Partners | $36 | 34% |
| Robert F Sing Program | $36 | 34% |
| Rx 340B Pass Along | $36 | 34% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $36 | 34% |
| Rx Heatlhcomp | $36 | 34% |
| Rx Medi-Cal | $36 | 34% |
| Rx Meridian Rx | $36 | 34% |
| Rx Restat | $36 | 34% |
| Rx Saif Opdp Wc | $36 | 34% |
| Rx Worker'S Comp | $36 | 34% |
| Ryan White Florida Mssrp | $36 | 34% |
| Sandhills Center Lme | $36 | 34% |
| Screening For Life | $36 | 34% |
| St Joseph County Hlth Dpt | $36 | 34% |
| Stephenson Cty Health | $36 | 34% |
| Sunshine State Health Plan | $36 | 34% |
| Superior Health | $36 | 34% |
| Tenncare | $36 | 34% |
| Texas Children'S Health Plan | $36 | 34% |
| Trillium Community Ohp | $36 | 34% |
| Tufts Health Public Plans | $36 | 34% |
| UnitedHealthcare | $36 - $738 | 34% |
| Vaya Health Lme | $36 | 34% |
| Washtenaw Health Plan | $36 | 34% |
| Wc Accident Fund | $36 | 34% |
| Wc Ace | $36 | 34% |
| Wc Acs Federal Employees | $36 | 34% |
| Wc Acuity | $36 | 34% |
| Wc Advantage | $36 | 34% |
| Wc Aegis | $36 | 34% |
| Wc Aig | $36 | 34% |
| Wc Aims | $36 | 34% |
| Wc Alaska National Ins | $36 | 34% |
| Wc Align Network | $36 | 34% |
| Wc Allied | $36 | 34% |
| Wc Am Trust N America | $36 | 34% |
| Wc American Claims Mgmt | $36 | 34% |
| Wc Amerisure | $36 | 34% |
| Wc Amtrust | $36 | 34% |
| Wc Asu Risk Mgt | $36 | 34% |
| Wc Benetech | $36 | 34% |
| Wc Berkley Admin | $36 | 34% |
| Wc Broadspire | $36 | 34% |
| Wc Broward County | $36 | 34% |
| Wc Bunch & Associates | $36 | 34% |
| Wc California State Comp Ins | $36 | 34% |
| Wc California State Ins Fund | $36 | 34% |
| Wc Capitol Area Health Consortium | $36 | 34% |
| Wc Ccmsi | $36 | 34% |
| Wc Chartis | $36 | 34% |
| Wc Chubb | $36 | 34% |
| Wc Cirma | $36 | 34% |
| Wc City Of Albany | $36 | 34% |
| Wc City Of Sioux City | $36 | 34% |
| Wc Claims Mgmt Inc | $36 | 34% |
| Wc Cna | $36 | 34% |
| Wc Comp One Admin C/O Manageability | $36 | 34% |
| Wc Compone Admin | $36 | 34% |
| Wc Ct Healthcare Trust | $36 | 34% |
| Wc Donegal Insurance Group | $36 | 34% |
| Wc Emc Insurance Company | $36 | 34% |
| Wc Employee Mutual | $36 | 34% |
| Wc Enablecomp | $36 | 34% |
| Wc Encore Health Network | $36 | 34% |
| Wc Erie | $36 | 34% |
| Wc Esis | $36 | 34% |
| Wc Evolutions | $36 | 34% |
| Wc Fcci | $36 | 34% |
| Wc Fed Ex | $36 | 34% |
| Wc Federal Black Lung | $36 | 34% |
| Wc Federated | $36 | 34% |
| Wc Finley Occupational Health | $36 | 34% |
| Wc First Agency/Occunet | $36 | 34% |
| Wc Ford Motor | $36 | 34% |
| Wc Fresno Unified Emp | $36 | 34% |
| Wc Gallagher Bassett | $36 | 34% |
| Wc General Motors | $36 | 34% |
| Wc Generic | $36 | 34% |
| Wc Genex Care For Ohio | $36 | 34% |
| Wc Great West Casualty | $36 | 34% |
| Wc Guarantee Insurance | $36 | 34% |
| Wc Guard Insurance Company | $36 | 34% |
| Wc Hab | $36 | 34% |
| Wc Hartford | $36 | 34% |
| Wc Hastings | $36 | 34% |
| Wc Health Management | $36 | 34% |
| Wc Heritage Summit | $36 | 34% |
| Wc Hireright | $36 | 34% |
| Wc Horizon | $36 | 34% |
| Wc Icw Group | $36 | 34% |
| Wc Idaho State Ins Fund | $36 | 34% |
| Wc Intercare Insurance | $36 | 34% |
| Wc Intermountain | $36 | 34% |
| Wc Johns Eastern | $36 | 34% |
| Wc Kemberton | $36 | 34% |
| Wc Key Ins & Benefit Solutions | $36 | 34% |
| Wc Liberty Mutual | $36 | 34% |
| Wc Mac Risk Management | $36 | 34% |
| Wc Massachusetts | $36 | 34% |
| Wc Mdia | $36 | 34% |
| Wc Meadowbrook Claim | $36 | 34% |
| Wc Medical Administrators | $36 | 34% |
| Wc Meijers | $36 | 34% |
| Wc Memic | $36 | 34% |
| Wc Mercy Workcare | $36 | 34% |
| Wc Michigan | $36 | 34% |
| Wc Michigan Millers Mutual | $36 | 34% |
| Wc Mitchell Frankenmuth | $36 | 34% |
| Wc Mra | $36 | 34% |
| Wc Nationwide | $36 | 34% |
| Wc Nca Comp | $36 | 34% |
| Wc New York | $36 | 34% |
| Wc New York Special Funds | $36 | 34% |
| Wc North American Rishces | $36 | 34% |
| Wc Northeast Health | $36 | 34% |
| Wc Notre Dame | $36 | 34% |
| Wc Novanet | $36 | 34% |
| Wc O'Hara Corp | $36 | 34% |
| Wc Occ Health Allen | $36 | 34% |
| Wc Ohio Bureau | $36 | 34% |
| Wc One Call Medical | $36 | 34% |
| Wc Paradigm | $36 | 34% |
| Wc Peerless | $36 | 34% |
| Wc Pma | $36 | 34% |
| Wc Praxis Health Network | $36 | 34% |
| Wc Price Chopper | $36 | 34% |
| Wc Procura Management | $36 | 34% |
| Wc Qualcare | $36 | 34% |
| Wc Quiktrip | $36 | 34% |
| Wc Reny Company | $36 | 34% |
| Wc Rev Claims | $36 | 34% |
| Wc Risico | $36 | 34% |
| Wc Rural Mutual | $36 | 34% |
| Wc Saif Oregon | $36 | 34% |
| Wc Secura | $36 | 34% |
| Wc Sedgwick | $36 | 34% |
| Wc Sentry | $36 | 34% |
| Wc Sheakley Unicomp | $36 | 34% |
| Wc Smile Lodge | $36 | 34% |
| Wc Society | $36 | 34% |
| Wc Srs | $36 | 34% |
| Wc Taconic (Mro) | $36 | 34% |
| Wc Taconic Farms | $36 | 34% |
| Wc Travelers | $36 | 34% |
| Wc Triad Group | $36 | 34% |
| Wc Tristar | $36 | 34% |
| Wc Troy Ny | $36 | 34% |
| Wc Tyson | $36 | 34% |
| Wc Unified Health Services | $36 | 34% |
| Wc United Heartland | $36 | 34% |
| Wc Us Dept Of Labor | $36 | 34% |
| Wc Velocity | $36 | 34% |
| Wc Walmart | $36 | 34% |
| Wc West Bend | $36 | 34% |
| Wc West Bend Mutual/Argent | $36 | 34% |
| Wc Winnebago Industries | $36 | 34% |
| Wc Yankee Trails | $36 | 34% |
| Wc York Risk | $36 | 34% |
| Wc Zenith | $36 | 34% |
| Wc Zurich | $36 | 34% |
| Wellsense Health Plan | $36 | 34% |
| Wi Womens Wellness | $36 | 34% |
| Ally Align Care Adv | $40 | 37% |
| American Health Advantage Of Idaho | $40 | 37% |
| American Health Plan | $40 | 37% |
| Aurora Special Needs | $40 | 37% |
| Blue Care Network Advantage | $40 | 37% |
| Blue Shield - De (Highmark) Medciare Advantage | $40 | 37% |
| Care Dimensions | $40 | 37% |
| Care Improvement Plus | $40 | 37% |
| Care Resources Pace | $40 | 37% |
| Careplus Health Plans | $40 | 37% |
| Cca - Zing Health | $40 | 37% |
| Cca Senior Care Options | $40 | 37% |
| Central Valley Medical Services Corp Pace | $40 | 37% |
| Champion Health Plan Mcr Advantage | $40 | 37% |
| Champva | $40 | 37% |
| Clear Spring Health | $40 | 37% |
| Clover Health | $40 | 37% |
| Commonwealth Care Alliance | $40 | 37% |
| Community Pace At Home | $40 | 37% |
| Eddy Senior Care-Pace | $40 | 37% |
| Eddy Seniorcare Pace | $40 | 37% |
| Elementcare | $40 | 37% |
| Evercare | $40 | 37% |
| Everence | $40 | 37% |
| Gateway Health Plan | $40 | 37% |
| Genesys Pace Of Genesee County | $40 | 37% |
| Georgia Health Advantage | $40 | 37% |
| Gold Advantage | $40 | 37% |
| Gpa Croell Redi Mix | $40 | 37% |
| Health America Advantra | $40 | 37% |
| Highmark Health Options Dual Plan | $40 | 37% |
| Hope Select Pace | $40 | 37% |
| Horizon Nj Total Care | $40 | 37% |
| Hudson Headwaters Pace | $40 | 37% |
| Huron Valley Pace | $40 | 37% |
| Innovative Integrated Health Community Plans | $40 | 37% |
| Iowa Health Advantage | $40 | 37% |
| Johns Hopkins Advantage Md | $40 | 37% |
| Lasso Healthcare Msa | $40 | 37% |
| Life St Marys Pace | $40 | 37% |
| Lifecircles Pace | $40 | 37% |
| Longevity Health Plan | $40 | 37% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $40 | 37% |
| Martins Point Generations Advantage | $40 | 37% |
| Mass General Brigham Mcr Adv | $40 | 37% |
| Medicare (plans) | $40 - $138 | 37% |
| Medipak Advantage | $40 | 37% |
| Mercy Life | $40 | 37% |
| Mercyone Cedar Valley | $40 | 37% |
| Meridian Complete | $40 | 37% |
| Michigan Complete Health | $40 | 37% |
| Nascentia Health Plus | $40 | 37% |
| New Centry Health Careplus | $40 | 37% |
| Osu Prime Care Advantage | $40 | 37% |
| Pace Cny | $40 | 37% |
| Pace Iowa Immanuel Pathways | $40 | 37% |
| Pace Southeast | $40 | 37% |
| Pace-Trinity Health | $40 | 37% |
| Peak Pace Solutions | $40 | 37% |
| Perennial Advantage | $40 | 37% |
| Preferred Care Partners | $40 | 37% |
| Presbyterian Senior Plan | $40 | 37% |
| Provider Partners Health Plan Of Illinois | $40 | 37% |
| Provider Partners Health Plan Of Indiana | $40 | 37% |
| Pruitthealth Premier | $40 | 37% |
| Reliance Community Care Partners Care Resources Pace | $40 | 37% |
| Rx Allwin | $40 | 37% |
| Rx Grane Grnmedd | $40 | 37% |
| Rx Retiree Rx Care | $40 | 37% |
| Scan Health Plan Mcr Ipa Meritage Oon | $40 | 37% |
| Secure Horizons Ma Pffs | $40 | 37% |
| Serenity Pace | $40 | 37% |
| Siouxland Pace | $40 | 37% |
| Solis Health Plans | $40 | 37% |
| Sunnyview-Pace Finance Dept | $40 | 37% |
| Texan Plus | $40 | 37% |
| The Health Plan | $40 | 37% |
| Thome Pace | $40 | 37% |
| Todays Options | $40 | 37% |
| Tribute Health Plans | $40 | 37% |
| Tricare | $40 | 37% |
| Triwest Health Alliance | $40 | 37% |
| Um Health Advantage | $40 | 37% |
| Union Health Service | $40 | 37% |
| Us Family Health Plan | $40 | 37% |
| Veterans Administration | $40 | 37% |
| Veterans Eval Services | $40 | 37% |
| Wellmed | $40 | 37% |
| Multiplan | $41 - $1,520 | 38% |
| Phcs | $41 - $1,520 | 38% |
| Welbe Health | $42 - $138 | 39% |
| Correctcare Integrated Health | $46 | 43% |
| Align Senior Care | $47 - $155 | 44% |
| Healthnet | $47 - $1,473 | 44% |
| Blue Shield - Ca | $49 - $1,029 | 46% |
| Coventry | $49 - $1,245 | 46% |
| First Health | $49 | 46% |
| Cba Network By Design | $53 - $1,357 | 50% |
| Meritain | $60 - $869 | 56% |
| Advantek Central Usd | $62 - $279 | 58% |
| Geha | $63 - $738 | 59% |
| Bcn Domestic | $64 | 60% |
| Blue Benefit Administrators Of Massachusetts | $64 - $1,029 | 60% |
| Blue Care Network | $64 - $1,029 | 60% |
| Blue Distinction Transplant | $64 - $1,029 | 60% |
| Blue Shield - Id (Regence) | $64 - $1,029 | 60% |
| Blue Shield - Ny Highmark Northeastern | $64 - $1,029 | 60% |
| Blue Shield - Ny Highmark Western | $64 - $1,029 | 60% |
| Blue Shield - Pa (Highmark) | $64 - $1,029 | 60% |
| Blue Shield - Wa (Regence) | $64 - $1,029 | 60% |
| Health Choices | $64 | 60% |
| Kaiser Domestic | $64 | 60% |
| Pre-Employment | $64 | 60% |
| Wc Domestic | $64 | 60% |
| Kaiser Permanente | $79 - $235 | 74% |
| Wc Corvel | $79 - $92 | 74% |
| Trustmark Small Business Benefits | $869 | 814% |
| Allied Benefit Systems | $918 | 859% |
| Boon Chapman | $918 | 859% |
| Hap | $918 | 859% |
| Webtpa | $918 | 859% |
| St Agnes Nicu Valley Childrens Hospital | $1,176 | 1101% |
| Network Health | $1,357 | 1270% |
| Allegiance | $1,395 | 1306% |
| American Postal Workers Secondary | $1,395 | 1306% |
| Interplan | $1,628 | 1524% |