CT scan, sinuses
Facility: Alhambra Hospital Medical Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $1,224
- Cash Discount Price: $3,544
- vs. Medicare Baseline: 11.46x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1146% of the Medicare baseline (a markup of 1046%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Citrus Valley Health Partners | $123 | 115% |
| La Care Pasc Seiu Misc | $123 | 115% |
| Blue Shield 65 Plus | $127 | 119% |
| Apa Aco | $130 | 122% |
| Altamed Senior Services | $132 | 124% |
| Blue Cross Blue Shield | $132 - $347 | 124% |
| Brand New Day Sr | $132 | 124% |
| Central Health Plan Of Ca Senior Hmo | $132 | 124% |
| Health Net Senior Hmo | $132 | 124% |
| Medicare (plans) | $132 - $3,847 | 124% |
| Aetna | $134 - $283 | 125% |
| Humana | $134 | 125% |
| La Care Exchange | $134 | 125% |
| Miscellaneous Senior Hmo | $134 | 125% |
| Tricare | $134 | 125% |
| UnitedHealthcare | $134 - $178 | 125% |
| Wellcare Senior Hmo | $134 | 125% |
| Alignment Senior Hmo | $139 | 130% |
| La Care Medi-Cal Hmo | $142 | 133% |
| Health Net Salud Con Hmo | $164 | 154% |
| Molina Exchange | $165 | 154% |
| Health Net Exchange | $166 | 155% |
| Miscellaneous Work Comp Hmo | $179 | 168% |
| Ahmc Health | $198 | 185% |
| Allied Physicians Of Ca Commercial | $202 | 189% |
| Health Net Ppo/Epo/Pos | $280 | 262% |
| Health Net Medi-Cal | $299 | 280% |
| Kaiser Medi-Cal | $299 | 280% |
| Medi-Cal | $299 | 280% |
| Miscellaneous Medi-Cal Hmo | $299 | 280% |
| Ahmc-Reciprocity-Comm/Senior | $345 | 323% |
| Ahmc-Reciprocity-Medi-Cal/Healthy Families | $345 | 323% |
| Molina Health Plan | $450 | 421% |
| Cigna | $940 - $1,513 | 880% |
| Self Pay | $1,189 - $2,798 | 1113% |
| Health Net Exchange Enhanced Ppo | $1,260 - $2,966 | 1180% |
| Blue Shield Value Network Exchange | $1,797 | 1682% |
| Kaiser Commercial | $1,842 - $4,337 | 1725% |
| Blue Shield Hmo/Ppo | $2,003 | 1875% |
| Multiplan | $2,377 - $5,596 | 2225% |
| Miscellaneous Commercial Ppo/Hmo | $2,971 - $6,995 | 2782% |
| Stewart Mg Senior Hmo | $2,971 - $6,995 | 2782% |