CMS Price Transparency Data

CT scan, sinuses

Facility: Adventist Health and Rideout

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$227

about 2.1× the $107 Medicare rate · typically $144–$370

modeled estimate · not a bill or quote

What this hospital charges insurers

$259

About the fair price

about $32 over the fair price · 2.4× Medicare

Medicare pays $107 Fair price $227 This hospital $259 Cash price $903 Hospital's list price $4,104

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 $259

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 $227 (about 2.1× the $107 Medicare rate). Adventist Health and Rideout charges insurers about $259, or about $903 in cash — about the fair price. Located in Marysville, CA.

What each insurance company pays

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

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

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

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	$135 - $4,074	126%
Blue Cross Blue Shieldmajor	$136 - $4,456	127%
Aetnamajor	$2,487 - $3,316	2328%
Cignamajor	$2,998 - $3,997	2807%
Kaiser Permanentemajor	$135 - $3,564	126%
Health Net	$704 - $3,016	659%
+ 5 smaller / regional plans	$97 - $7,738

Government programs also on file: Medicaid, Military & VA.

Excludes 4 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 903), 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 Adventist Health and Rideout 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 Adventist Health and Rideout

Compare: CT scan, sinuses at other CA hospitals

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