CMS Price Transparency Data

CT scan, sinuses

Facility: Atrium Health Navicent the Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 1.0× the $107 Medicare rate · typically $105–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $9 over the fair price · 1.1× Medicare
Medicare pays $107 Fair price $106 This hospital $115 Cash price $1,318 Hospital's list price $2,636

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $70 Priciest $115

Black dot = this hospital, among the 9 GA 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 $106 (about 1.0× the $107 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $115, or about $1,318 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

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

6 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 $38 - $1,422 36%
Blue Cross Blue Shieldmajor $38 - $190 36%
Aetnamajor $38 - $1,819 36%
Cignamajor $119 - $425 111%
Humanamajor $38 - $1,811 36%
Kaiser Permanentemajor $160 - $1,713 150%
Ambetter (Centene) $51 - $1,344 48%
Clover Health $39 - $117 37%
+ 9 smaller / regional plans $38 - $2,451
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals