CMS Price Transparency Data

CT scan, sinuses

Facility: Parkview Community Hospital Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $299
Cash Discount Price: $1,452
vs. Medicare Baseline: 2.80x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Parkview Community Hospital Medical Center is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,452. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.80x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.

Cash / Self-Pay

$1,452

Average discount available for prompt cash payment at this facility.

Insurance Median

$299

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: $1,452 (1359%)

Insurance Median: $299 (280%)

Cash: $1,452 (1359% of Medicare)

Ins. Median: $299 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Iehp	$108 - $172	101%
Central Health Plan	$119	111%
Humana	$130	122%
Alignment	$132	124%
Blue Cross Blue Shield	$132 - $702	124%
Medicare (plans)	$132	124%
Aetna	$134 - $810	125%
Blue Shield	$134 - $1,426	125%
Champus	$134	125%
Molina Covered Ca	$134	125%
Molina Senior	$134	125%
Scan	$134	125%
UnitedHealthcare	$134 - $178	125%
Health Net	$183 - $1,377	171%
Medi-Cal	$299	280%
Molina Medi-Cal	$299	280%
Ahmc	$335	314%
Regal	$359 - $1,204	336%
Self Pay	$1,278 - $2,408	1197%
Cigna	$1,289	1207%
Blue Shield Ppo	$1,426	1335%

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 $1,452.
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 Parkview Community Hospital Medical Center 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.