CMS Price Transparency Data

CT scan, sinuses

Facility: Temecula Valley Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,647
Cash Discount Price: Unavailable
vs. Medicare Baseline: 15.42x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Temecula Valley Hospital is $1,647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.42x the Medicare baseline. Located in 31700 Temecula Pkwy, Temecula, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,647

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%)

Insurance Median: $1,647 (1542%)

Ins. Median: $1,647 (1542% 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 1542% of the Medicare baseline (a markup of 1442%). 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
Heritage	$88	82%
Iehp	$88	82%
Molina	$88	82%
Health_Net	$92 - $1,685	86%
United_Healthcare	$104 - $178	97%
Kaiser	$152 - $1,609	142%
Aetna	$209	196%
Cigna	$1,434 - $1,945	1343%
Primecare	$1,592 - $2,160	1490%
Exclusive_Care	$1,798 - $2,439	1683%
Sharp_Health_Plan	$1,798 - $2,439	1683%
Palomar	$1,878 - $2,547	1758%
Blue_Shield	$2,244	2101%
Multiplan	$3,596 - $4,877	3367%

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 $X.
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 Temecula Valley 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.