CMS Price Transparency Data

CT scan, sinuses

Facility: Advocate Good Shepherd Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$263
about 2.5× the $107 Medicare rate · typically $124–$737
modeled estimate · not a bill or quote
What this hospital charges insurers
$718
Well above the fair price
about $455 over the fair price · 6.7× Medicare
Medicare pays $107 Fair price $263 This hospital $718 Cash price $800 Hospital's list price $1,600

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $64 Priciest $718

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

A fair price for a CT scan, sinuses is about $263 (about 2.5× the $107 Medicare rate). Advocate Good Shepherd Hospital charges insurers about $718, or about $800 in cash — well above the fair price. Located in Barrington, IL.

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 $263. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $718 672%
Blue Cross Blue Shieldmajor $940 - $1,267 880%
Aetnamajor $941 881%
Cignamajor $653 611%
Ambetter (Centene) $161 151%
Molina $161 151%
Oscar Health $166 155%
+ 2 smaller / regional plans $213 - $699
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.

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Facility Profile & Credentials

  • Address: 450 West Highway 22, Barrington, IL 60010
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals