CMS Price Transparency Data

CT scan, sinuses

Facility: Deaconess Hospital Inc

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $118
  • Cash Discount Price: $464
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Deaconess Hospital Inc is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$464

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $464 (434%)
Insurance Median: $118 (110%)
Cash: $464 (434% of Medicare)
Ins. Median: $118 (110% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Mhnet $30 - $96 28%
Ambetter / Centene $38 - $162 36%
Blue Cross Blue Shield $38 - $242 36%
Caresource In $38 - $120 36%
Humana $38 - $410 36%
Medicaid / KanCare $38 - $352 36%
Medicare (plans) $38 - $118 36%
Meridiancare (Il) $38 - $118 36%
Molina (Il) Mmai $38 - $118 36%
Molina Il $38 - $118 36%
Mytru Advantage $38 - $118 36%
Patoka Valley Health Care (80/20 Plan) $38 - $217 36%
Patoka Valley Health Care (90/10 Plan) $38 - $203 36%
Triwest Vapc3 $38 - $118 36%
UnitedHealthcare $38 - $455 36%
Wellcare (Il) Mmai $38 - $118 36%
Center Care Narrow Select $39 - $830 37%
Center Care Open Access $39 - $900 37%
Aetna $42 - $525 39%
Meridiancomplete (Il) $42 - $108 39%
Meridianhealth (Il) $42 - $85 39%
United Behavioral Health $42 - $130 39%
Youthcare (Meridian Il) $42 - $85 39%
Youthcare (Wellcare Il) $42 - $85 39%
Caresource In Marketplace $49 - $162 46%
Deaconess Onecare $49 - $216 46%
Iu Health Network $49 - $781 46%
Alliance Coal $52 - $211 49%
Allied National $53 - $844 50%
Claimdoc $53 - $844 50%
Healthscope $53 - $840 50%
Hopetrust $56 - $259 52%
Hstechnology $56 - $259 52%
Encircle/Encore Combined $60 - $507 56%
Encircle/Encore Elite+ $60 - $238 56%
Encircle/Encore Prime $60 - $507 56%
Noncontracted $60 - $188 56%
Naphcare $62 - $194 58%
Ky Racing Health & Welfare Fund $94 - $464 88%
Self-Pay $94 - $464 88%
Cigna $129 - $985 121%
Claritev (Formerly Phcs Multiplan) $129 - $787 121%
First Health $129 - $1,041 121%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $129 - $818 121%
Chamber Care $161 - $518 151%
Parkview Signature Care $182 - $957 170%
Healthlink $201 - $1,196 188%
National Rural Electric $236 - $1,238 221%
Immergrun $588 551%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals