CMS Price Transparency Data

CT scan, sinuses

Facility: Glendale Adventist Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $182
  • Cash Discount Price: $720
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Glendale Adventist Medical Center is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $720. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.70x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$720

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $720 (674%)
Insurance Median: $182 (170%)
Cash: $720 (674% of Medicare)
Ins. Median: $182 (170% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cigna $22 - $574 21%
Alignment Hp Mcr Adv - All Plans $42 - $6,401 39%
Blue Shield Mcr Adv $42 - $134 39%
Caremore Mcr Adv - All Plans $42 - $514 39%
Clever Care Mcr Adv - All Plans $42 - $134 39%
Healthcare Partners- All Plans $42 - $644 39%
La Care Mcr Adv- All Plans $42 - $2,000 39%
Molina Mcr $42 - $134 39%
Scan Mcr Adv - All Plans $42 - $2,500 39%
Tricare $42 - $134 39%
UnitedHealthcare $42 - $2,592 39%
Blue Cross Blue Shield $44 - $986 41%
Ah Employee Health Plan - All Plans $46 - $242 43%
Heritage Commercial - All Other Plans $51 - $294 48%
Heritage Sr $51 - $263 48%
Regal Medical Group Commercial - All Other Plans $51 - $161 48%
Dept Of State Hsp Metropolitan- All Plans $55 - $175 51%
Aetna $57 - $1,007 53%
Molina Exchange - All Other Plans $57 - $182 53%
Healthnet Mcr Adv $60 - $9,089 56%
Healthnet - All Other Plans $62 - $1,674 58%
Centivo - All Plans $63 - $303 59%
Western Growers/Pinnacle - All Plans $63 - $2,752 59%
Blue Shield Epn - All Other Plans $73 - $2,356 68%
Blue Shield Non Epn $77 - $2,714 72%
First Health- All Plans $103 - $3,713 96%
Phcs- All Plans $115 - $4,161 108%
Bc Medi-Cal $117 - $123 110%
Blue Shield Medi-Cal $123 - $522 115%
Medi-Cal $123 - $209 115%
Molina Mcal $123 - $209 115%
Heritage Mcal $131 - $221 123%
Regal Med Group Mcal $134 125%
Corvel- All Plans $142 - $5,121 133%
Healthnet Mcal $147 - $249 138%
Health Mgmt Network - All Plans $150 - $5,441 140%
Kaiser - All Plans $150 - $5,441 140%
Phys Assoc Op Only- All Plans $180 169%
Employers Health Network - All Plans $300 281%
Beech Street - All Plans $3,601 - $4,801 3371%
Choicecare - All Plans $3,601 - $4,801 3371%
Three Rivers - All Plans $4,081 - $5,441 3821%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals