CMS Price Transparency Data

CT scan, sinuses

Facility: University Hospital and Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $4,164
Cash Discount Price: $16,756
vs. Medicare Baseline: 38.99x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at University Hospital and Medical Center is $4,164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,756. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 38.99x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$16,756

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,164

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: $16,756 (15688%)

Insurance Median: $4,164 (3899%)

Cash: $16,756 (15688% of Medicare)

Ins. Median: $4,164 (3899% 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 3899% of the Medicare baseline (a markup of 3799%). 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
United	$245 - $7,540	229%
Aetna	$769 - $5,027	720%
Avmed	$890 - $8,378	833%
Freedom Health	$1,441 - $2,681	1349%
Optimum	$1,441	1349%
Simply Healthcare Plans	$2,178	2039%
Corvel Corporation	$2,182	2043%
Careworks (Rockport)	$2,228	2086%
Prime Health	$2,228	2086%
Molina	$3,184 - $4,524	2981%
Health Sun Health Plan	$3,569	3341%
Mmm Of Fl (Health Advantage Plan)	$3,854	3608%
United Ppo	$3,971	3718%
Sunshine State Health Plan	$4,423	4141%
Plotkin Health	$8,378	7844%
Prime Health Sherriff	$8,378	7844%
Medica Healthcare	$9,718	9098%
Multiplan	$12,567 - $14,242	11766%
Evernorth Bh	$13,404	12549%

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 $16,756.
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 University Hospital and 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.