CMS Price Transparency Data

CT scan, sinuses

Facility: Northside Hospital Duluth

Billing Code: 70486 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$228
about 2.1× the $107 Medicare rate · typically $113–$1,049
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,051
Well above the fair price
about $823 over the fair price · 9.8× Medicare
Medicare pays $107 Fair price $228 This hospital $1,051 Cash price $2,946 Hospital's list price $3,928

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 $1,051

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $228 (about 2.1× the $107 Medicare rate). Northside Hospital Duluth charges insurers about $1,051, or about $2,946 in cash — well above the fair price. Located in Duluth, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $228. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $103 - $1,307 96%
Blue Cross Blue Shieldmajor $103 - $2,738 96%
Aetnamajor $104 - $2,671 97%
Cignamajor $597 - $1,387 559%
Humanamajor $104 - $107 97%
Kaiser Permanentemajor $106 - $1,483 99%
Ambetter (Centene) $496 - $843 464%
Amerigroup $496 - $705 464%
CareSource $106 - $1,461 99%
Clover Health $108 101%
Health Net $1,448 1356%
Oscar Health $695 651%
WellCare $106 99%
+ 29 smaller / regional plans $87 - $3,928
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals