CMS Price Transparency Data

CT scan, sinuses

Facility: Decatur County Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$438
about 4.1× the $107 Medicare rate · typically $122–$1,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$989
Well above the fair price
about $551 over the fair price · 9.2× Medicare
Medicare pays $107 Fair price $438 This hospital $989 Cash price $1,137 Hospital's list price $1,421

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 $989

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 $438 (about 4.1× the $107 Medicare rate). Decatur County Hospital charges insurers about $989, or about $1,137 in cash — well above the fair price. Located in Leon, IA.

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 $438. 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.

5 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 $853 - $1,208 799%
Blue Cross Blue Shieldmajor $455 - $480 426%
Aetnamajor $767 - $1,123 718%
Cignamajor $1,222 1144%
Humanamajor $1,037 971%
Amerigroup $1,492 1397%
HealthPartners $1,307 1224%
Medica $1,137 1065%
Medical Mutual $1,250 1170%
Priority Health $1,421 1330%
+ 17 smaller / regional plans $739 - $1,449
Government programs also on file: Military & VA.
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

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals