CMS Price Transparency Data

CT scan, sinuses

Facility: San Luis Valley Regional Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,002
Cash Discount Price: $611
vs. Medicare Baseline: 9.38x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at San Luis Valley Regional Medical Center is $1,002. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.38x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$611

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,002

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: $611 (572%)

Insurance Median: $1,002 (938%)

Cash: $611 (572% of Medicare)

Ins. Median: $1,002 (938% 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 938% of the Medicare baseline (a markup of 838%). 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
Tricare	$107 - $110	100%
Kaiser	$110 - $1,399	103%
Triwest	$110	103%
Rocky Mountain	$131	123%
Uc Health Plan Pb	$206	193%
Presbyterian Health Plan	$248	232%
Aetna	$413 - $1,289	387%
Multiplan Physician	$413	387%
Cigna	$490 - $1,399	459%
Rocky Mountain Pb	$490	459%
Uchpa Phs - Pb	$490	459%
Co Choice Healthplan - Lutheran Hosp Assoc	$1,002	938%
Hmo Health Plans	$1,031	965%
UnitedHealthcare	$1,293 - $1,355	1211%
Blue Cross Blue Shield	$1,296	1213%
Galaxy Health Network	$1,296	1213%
Multiplan	$1,296 - $1,326	1213%
Humana	$1,326	1241%
Pinnacol Assurance	$1,370	1283%
Colorado Access	$1,392	1303%
Foundation Health Corp	$1,399	1310%
Uc Health Plan	$1,399	1310%
Uchpa Phs	$1,399	1310%

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 $611.
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 San Luis Valley Regional Medical Center 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.