CMS Price Transparency Data

CT scan, sinuses

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,523
Cash Discount Price: $3,965
vs. Medicare Baseline: 14.26x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $1,523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,965. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.26x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$3,965

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,523

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: $3,965 (3712%)

Insurance Median: $1,523 (1426%)

Cash: $3,965 (3712% of Medicare)

Ins. Median: $1,523 (1426% 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 1426% of the Medicare baseline (a markup of 1326%). 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
Simply	$27	25%
United Hc	$28 - $7,930	26%
Blue Cross Blue Shield	$39 - $5,959	37%
Aetna	$40 - $4,362	37%
Devoted	$40 - $1,675	37%
Humana	$40 - $5,154	37%
Careplus	$42 - $1,599	39%
Baycare	$43 - $1,599	40%
Freedom Health	$44 - $94	41%
Health First	$44 - $4,362	41%
Optimum	$44 - $94	41%
Evolutions	$47 - $6,344	44%
Avmed	$56 - $4,758	52%
Multiplan	$64 - $6,344	60%
Cigna	$65 - $4,758	61%
Molina	$1,554	1455%
Emerging Therapies	$4,758	4455%
UnitedHealthcare	$4,758	4455%
First Health	$5,948	5569%

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 $3,965.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.