CMS Price Transparency Data

CT scan, sinuses

Facility: USC Kenneth Norris Jr Cancer Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $942
Cash Discount Price: $4,210
vs. Medicare Baseline: 8.82x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at USC Kenneth Norris Jr Cancer Hospital is $942. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,210. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.82x the Medicare baseline. Located in 1441 Eastlake Ave, Los Angeles, CA.

Cash / Self-Pay

$4,210

Average discount available for prompt cash payment at this facility.

Insurance Median

$942

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: $4,210 (3942%)

Insurance Median: $942 (882%)

Cash: $4,210 (3942% of Medicare)

Ins. Median: $942 (882% 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 882% of the Medicare baseline (a markup of 782%). 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
Facey Medical Group	$134	125%
Elite Physicians Group	$269	252%
UnitedHealthcare	$278	260%
Cigna	$707	662%
Aetna	$1,176	1101%
Blue Cross Blue Shield	$1,216 - $1,262	1138%
Blue Shield	$1,390 - $1,982	1301%

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 $4,210.
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 USC Kenneth Norris Jr Cancer Hospital 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.