CMS Price Transparency Data

CT scan, sinuses

Facility: Westside Regional Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,409
Cash Discount Price: $9,573
vs. Medicare Baseline: 22.55x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Westside Regional Medical Center is $2,409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,573. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.55x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

$9,573

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,409

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: $9,573 (8963%)

Insurance Median: $2,409 (2255%)

Cash: $9,573 (8963% of Medicare)

Ins. Median: $2,409 (2255% 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 2255% of the Medicare baseline (a markup of 2155%). 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 - $4,308	229%
Aetna	$769 - $2,872	720%
Freedom Health	$823 - $1,532	771%
Optimum	$823	771%
Simply Healthcare Plans	$1,244	1165%
Molina	$1,627 - $2,585	1523%
Health Sun Health Plan	$2,039	1909%
Aids Healthcare	$2,106 - $11,488	1972%
Avmed	$2,119 - $4,786	1984%
Corvel Corporation	$2,182	2043%
Mmm Of Fl (Health Advantage Plan)	$2,202	2062%
Careworks (Rockport)	$2,228	2086%
Prime Health	$2,228	2086%
United Ppo	$2,269	2124%
Sunshine State Health Plan	$2,527	2366%
Plotkin Health	$4,786	4481%
Prime Health Sherriff	$4,786	4481%
Medica Healthcare	$5,648	5288%
Multiplan	$7,180 - $8,137	6722%

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 $9,573.
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 Westside Regional 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.