CMS Price Transparency Data

CT scan, sinuses

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,065
Cash Discount Price: Unavailable
vs. Medicare Baseline: 9.97x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Southeast Georgia Health System -- Camden Campus is $1,065. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.97x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,065

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%)

Insurance Median: $1,065 (997%)

Ins. Median: $1,065 (997% 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 997% of the Medicare baseline (a markup of 897%). 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
Amerigroup_Community_Care	$51	48%
Caresource_Georgia_Families	$51	48%
Peachstate_Health_Plan	$51	48%
Blue Cross Blue Shield	$81 - $1,260	76%
Caresource	$81 - $121	76%
Humana	$81 - $1,580	76%
UnitedHealthcare	$81	76%
United_Healthcare_Veterans_Administration	$81	76%
Aetna	$82 - $1,509	77%
Clover_Health	$82	77%
Devoted_Health	$84	79%
Pruitthealth	$85	80%
Ambetter / Centene	$129	121%
Sea_Island	$1,260	1180%
Sghs_Meritain	$1,260	1180%
Coventryone_Hix	$1,349	1263%
United_Healthcare	$1,370	1283%
Medishare	$1,509	1413%
Choicecare	$1,580	1479%
Cigna	$1,580	1479%
Industry_Buying_Group_Ibg	$1,580	1479%
First_Health_Southcare	$1,598	1496%
One_Health_Great_West	$1,598	1496%
Pponext	$1,686	1579%

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 $X.
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 Southeast Georgia Health System -- Camden Campus 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.