CMS Price Transparency Data

CT scan, sinuses

Facility: AHMC Seton Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$193
about 1.8× the $107 Medicare rate · typically $150–$343
modeled estimate · not a bill or quote
What this hospital charges insurers
$190
About the fair price
about $3 under the fair price · 1.8× Medicare
Medicare pays $107 Fair price $193 This hospital $190 Cash price $3,305 Hospital's list price $4,131

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 $190

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 $193 (about 1.8× the $107 Medicare rate). AHMC Seton Medical Center charges insurers about $190, or about $3,305 in cash — about the fair price. Located in Daly City, CA.

What each insurance company pays

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

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

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

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 $152 - $178 142%
Blue Cross Blue Shieldmajor $39 - $3,137 37%
Aetnamajor $149 - $847 140%
Cignamajor $2,892 2708%
Humanamajor $149 140%
Kaiser Permanentemajor $152 - $3,387 142%
Health Net $149 - $3,168 140%
+ 28 smaller / regional plans $116 - $4,131
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals