CMS Price Transparency Data

CT scan, sinuses

Facility: Sedgwick County Memorial Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $2,074
  • Cash Discount Price: $2,304
  • vs. Medicare Baseline: 19.42x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Sedgwick County Memorial Hospital is $2,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,304. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.42x the Medicare baseline. Located in 900 Cedar St, Julesburg, CO.
Cash / Self-Pay
$2,304

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,074

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: $2,304 (2157%)
Insurance Median: $2,074 (1942%)
Cash: $2,304 (2157% of Medicare)
Ins. Median: $2,074 (1942% 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 1942% of the Medicare baseline (a markup of 1842%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Molina $691 647%
Rocky Mountain Health $945 885%
Triwest Va $945 885%
Aetna $2,074 1942%
Blue Cross Blue Shield $2,074 1942%
Cigna $2,995 2804%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Cedar St, Julesburg, CO 80737
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals