CMS Price Transparency Data

CT scan, sinuses

Facility: Steele Memorial Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $891
Cash Discount Price: $1,005
vs. Medicare Baseline: 8.34x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Steele Memorial Medical Center is $891. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,005. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.34x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$1,005

Average discount available for prompt cash payment at this facility.

Insurance Median

$891

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%)

Cash / Self-Pay: $1,005 (941%)

Insurance Median: $891 (834%)

Cash: $1,005 (941% of Medicare)

Ins. Median: $891 (834% 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 834% of the Medicare baseline (a markup of 734%). 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
Aetna	$335 - $1,839	314%
Pacific Source Mcr Adv	$350 - $910	328%
Windsor Hp Mcr Adv - All Plans	$350 - $910	328%
Select Health Mcr Adv	$354 - $919	331%
Blue Cross Blue Shield	$357 - $1,936	334%
Liberty Healthshare - All Plans	$595 - $1,547	557%
Pacific Source - All Other Plans	$670 - $1,742	627%
Cigna	$687 - $1,785	643%
Mountain Health Co-Op - All Plans	$708 - $1,839	663%
Select Health Inc - All Other Plans	$708 - $1,839	663%
UnitedHealthcare	$708 - $1,839	663%
Multiplan - All Plans	$730 - $1,897	683%
Three Rivers - All Plans	$730 - $1,897	683%
Ichn, Llc - All Plans	$745 - $1,936	698%
Regence Blue Shield - All Plans	$1,862 - $4,840	1743%

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 $1,005.
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 Steele Memorial Medical Center 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.