CMS Price Transparency Data

CT scan, sinuses

Facility: North Shore Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$140

about 1.3× the $107 Medicare rate · typically $116–$377

modeled estimate · not a bill or quote

What this hospital charges insurers

$136

About the fair price

about $4 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $140 This hospital $136 Cash price $8,200 Hospital's list price $8,200

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $58 Priciest $136

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $140 (about 1.3× the $107 Medicare rate). North Shore Medical Center charges insurers about $136, or about $8,200 in cash — about the fair price. Located in Miami, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$69 - $8,200	65%
Aetnamajor	$103 - $5,904	96%
Cignamajor	$108 - $4,100	101%
Humanamajor	$59 - $206	55%
Ambetter (Centene)	$194	182%
AmeriHealth	$225	211%
AvMed	$116 - $214	109%
Bright Health	$126	118%
Devoted Health	$103	96%
Molina	$199	186%
Oscar Health	$188	176%
+ 20 smaller / regional plans	$103 - $8,200

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 8,200), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm North Shore Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Shore Medical Center

Compare: CT scan, sinuses at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.