CMS Price Transparency Data
CT scan, sinuses
Facility: Chapman Global Medical Center
Billing Code: 70486 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70486
- Insurance Median: $233
- Cash Discount Price: $2,271
- vs. Medicare Baseline: 2.18x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Chapman Global Medical Center is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.18x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$2,271
Average discount available for prompt cash payment at this facility.
Insurance Median
$233
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: $2,271 (2126%)
Insurance Median: $233 (218%)
Cash: $2,271 (2126% of Medicare)
Ins. Median: $233 (218% 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 218% of the Medicare baseline (a markup of 118%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Monarch Health Plan | $114 - $419 | 107% |
| Scan/Altamed | $127 | 119% |
| Champ | $129 | 121% |
| Champus | $129 | 121% |
| Aetna | $134 - $550 | 125% |
| Altamed | $134 - $419 | 125% |
| Altamed Health Services | $134 | 125% |
| Apex Hospice | $134 | 125% |
| Astiva | $134 | 125% |
| Blue Shield Of California | $134 - $510 | 125% |
| Caloptima | $134 - $419 | 125% |
| Central Health Plan | $134 | 125% |
| Champion Health Plan | $134 | 125% |
| Choice Physicians Network | $134 | 125% |
| Citizen Choice Health Plan | $134 | 125% |
| Clever Care | $134 | 125% |
| Easy Choice | $134 | 125% |
| For Your Benefit | $134 | 125% |
| Health Net | $134 - $1,658 | 125% |
| Healthcare Partners Sr Hmo | $134 | 125% |
| Heritage Provider Network | $134 - $1,363 | 125% |
| Hollywood Presbyterian | $134 - $299 | 125% |
| Humana | $134 | 125% |
| Imperial Health Plan Of Ca | $134 | 125% |
| Innovative Integrated Health | $134 | 125% |
| Kaiser | $134 - $1,398 | 125% |
| Medcare Partners Health Plan | $134 | 125% |
| Medicare (plans) | $134 | 125% |
| Monarch Sr | $134 | 125% |
| Onecare | $134 | 125% |
| Onecare/Connect | $134 | 125% |
| Prospect Health Plan | $134 - $419 | 125% |
| Scan Health Plan | $134 | 125% |
| Self Pay | $134 | 125% |
| St Joseph | $134 | 125% |
| UnitedHealthcare | $134 - $154 | 125% |
| Us Department Of Labor/Workers Comp | $134 | 125% |
| Us Federal Marshall/Department Of Immigration | $134 | 125% |
| Velocity National Provider Network Sr | $134 | 125% |
| Verda Health Plan | $134 | 125% |
| Veterans Administration | $134 | 125% |
| Victim Of Violent Crime | $134 | 125% |
| Victoria Hospice | $134 | 125% |
| Healthcare Partners Hmo | $145 | 136% |
| Brand New Day | $148 - $168 | 139% |
| Align Senior Care | $150 | 140% |
| Prime Health Services | $154 - $1,817 | 144% |
| Coventry Health | $161 - $170 | 151% |
| Interplan | $163 - $1,703 | 153% |
| County Of Orange | $168 - $419 | 157% |
| Veterans Evaluation Services | $168 | 157% |
| Multiplan | $175 | 164% |
| Three Rivers Wc | $175 | 164% |
| Indemnity Workers Comp California Fee Schedule | $179 | 168% |
| Velocity National Provider Network Wc | $179 | 168% |
| Staywell/Island Home Ins | $188 | 176% |
| Cigna | $194 - $1,817 | 182% |
| Three Rivers Network | $235 | 220% |
| Velocity National Provider Network Ppo | $235 | 220% |
| Altamed Mcal Hmo (Ancillary) | $299 | 280% |
| Healthcare Partners | $299 | 280% |
| Medi-Cal | $299 | 280% |
| State Of California | $299 | 280% |
| Altamed Whole Child Model/Caloptima | $419 | 392% |
| Choc Health Alliance | $419 | 392% |
| Family Choice | $419 | 392% |
| Ihhi | $681 | 638% |
| Velocity National Provider Network Auto Med Ppo | $1,022 | 957% |
| First Health | $1,192 | 1116% |
| Magellan | $1,363 | 1276% |
| Magellan Behavioral Health | $1,363 | 1276% |
| Multiplan/Master | $1,590 | 1489% |
| Networks By Design | $1,590 | 1489% |
| Healthsmart Preferred Network | $1,703 | 1594% |
| Pnoa-Provider Network Of America | $1,817 | 1701% |
| Prime Health Services/Network | $1,930 | 1807% |
| Clinics | $2,271 | 2126% |
| Lucet Bh Scan Sr | $2,271 | 2126% |
| Managed Health Network | $2,271 | 2126% |
| Opiate Detox Institute | $2,271 | 2126% |
| Other Insurance | $2,271 | 2126% |
| Other Non Contracted Insurance Plans | $2,271 | 2126% |
| Private Pay | $2,271 | 2126% |
| Silverado Hospice | $2,271 | 2126% |
| Us Behavioral Health | $2,271 | 2126% |
| Waismann Method Medical Group | $2,271 | 2126% |
| West Coast Hospice Care | $2,271 | 2126% |