CMS Price Transparency Data

CT scan, sinuses

Facility: Madison County Health Care System

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$618
about 5.8× the $107 Medicare rate · typically $169–$928
modeled estimate · not a bill or quote
What this hospital charges insurers
$505
Below the fair price — a good deal
about $113 under the fair price · 4.7× Medicare
Medicare pays $107 Fair price $618 This hospital $505 Cash price $1,458 Hospital's list price $1,823

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $38 Priciest $505

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

A fair price for a CT scan, sinuses is about $618 (about 5.8× the $107 Medicare rate). Madison County Health Care System charges insurers about $505, or about $1,458 in cash — below the fair price — a good deal. Located in Winterset, IA.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $784 - $1,641 734%
Blue Cross Blue Shieldmajor $480 - $529 449%
Aetnamajor $784 - $1,185 734%
Amerigroup $908 850%
Molina $887 830%
Oscar Health $1,176 1101%
+ 14 smaller / regional plans $784 - $1,823
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals