CMS Price Transparency Data

CT scan, sinuses

Facility: Larkin Community Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$130

about 1.2× the $107 Medicare rate · typically $113–$407

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $18 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $130 This hospital $112 Cash price $391 Hospital's list price $559

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 $112

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 $130 (about 1.2× the $107 Medicare rate). Larkin Community Hospital charges insurers about $112, or about $391 in cash — below the fair price — a good deal. Located in South Miami, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$52 - $144	49%
Blue Cross Blue Shieldmajor	$101 - $1,722	95%
Aetnamajor	$41 - $4,799	38%
Cignamajor	$500	468%
Humanamajor	$67 - $4,799	63%
Ambetter (Centene)	$67	63%
AvMed	$62 - $4,799	58%
Bright Health	$62 - $5,759	58%
Molina	$67	63%
Oscar Health	$9,598	8986%
+ 22 smaller / regional plans	$40 - $4,799

Government programs also on file: Medicare, Medicaid.

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 391), 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 Larkin Community Hospital 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 Larkin Community Hospital

Compare: CT scan, sinuses at other FL hospitals

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