CMS Price Transparency Data

CT scan, sinuses

Facility: Clay County Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 0.9× the $107 Medicare rate · typically $73–$521
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $8 under the fair price · 0.8× Medicare
Medicare pays $107 Fair price $93 This hospital $85 Cash price $2,508 Hospital's list price $2,508

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

On the higher side — 7 of 8 other IL hospitals charge less.

Cheapest $64 Priciest $92

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $93 (about 0.9× the $107 Medicare rate). Clay County Hospital charges insurers about $85, or about $2,508 in cash — about the fair price. Located in Flora, IL.

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 $40 - $2,006 37%
Blue Cross Blue Shieldmajor $42 - $1,841 39%
Aetnamajor $40 - $1,981 37%
Cignamajor $253 - $2,006 237%
Ambetter (Centene) $40 - $677 37%
HealthLink $205 - $2,006 192%
Medica $40 - $1,555 37%
Meridian $40 - $677 37%
Molina $42 - $85 39%
WellCare $40 - $677 37%
+ 1 smaller / regional plan $300 - $2,383

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: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals