CMS Price Transparency Data

CT scan, sinuses

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $733
Cash Discount Price: $1,570
vs. Medicare Baseline: 6.86x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Uchealth Pikes Peak Regional Hospital is $733. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,570. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.86x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$1,570

Average discount available for prompt cash payment at this facility.

Insurance Median

$733

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: $1,570 (1470%)

Insurance Median: $733 (686%)

Cash: $1,570 (1470% of Medicare)

Ins. Median: $733 (686% 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 686% of the Medicare baseline (a markup of 586%). 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
Blue Cross Blue Shield	$158 - $1,038	148%
Kaiser Public Option	$480 - $1,177	449%
Aetna	$490 - $1,609	459%
Cigna	$490 - $1,570	459%
Cms	$490	459%
Devoted Health	$490	459%
Humana	$490	459%
Kaiser	$490 - $1,668	459%
Select Health	$490 - $1,699	459%
UnitedHealthcare	$490 - $698	459%
Kaiser Kp Select	$550 - $1,413	515%
Simplified Benefits Administration	$899 - $991	842%
Multiplan/Phcs	$1,550	1451%
First Health	$1,668	1562%
Rocky Mountain Health Plan	$1,668	1562%

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 $1,570.
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 Uchealth Pikes Peak Regional 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.