CMS Price Transparency Data

CT scan, sinuses

Facility: The Women's Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $118
  • Cash Discount Price: $1,204
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at The Women's Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,204. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$1,204

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: $1,204 (1127%)
Insurance Median: $118 (110%)
Cash: $1,204 (1127% 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
Blue Cross Blue Shield $38 - $359 36%
Caresource $38 - $118 36%
Caresource Hip $38 - $120 36%
Caresource In $38 - $120 36%
Chamber Care $38 - $1,429 36%
Humana $38 - $469 36%
Iu Health $38 - $1,021 36%
Mdwise Hip $38 - $120 36%
Meridian Health Il $38 - $118 36%
Mhs $38 - $118 36%
Mhs Behavioral $38 - $120 36%
Molina Il $38 - $118 36%
Molina Ky $38 - $118 36%
Molina Ky Dual $38 - $118 36%
Patoka Valley Health Care (80/20 Plan) $38 - $1,266 36%
Patoka Valley Health Care (90/10 Plan) $38 - $1,225 36%
UnitedHealthcare $38 - $1,633 36%
Wellcare Ky $38 - $469 36%
Amish $39 - $302 37%
Aetna $42 - $1,359 39%
Ambetter / Centene $43 - $152 40%
Immergrun $45 - $853 42%
Caresource Marketplace (Just4Me) $49 - $153 46%
One Care $49 - $1,429 46%
Passport Molina Ky $49 - $469 46%
Hst $51 - $159 48%
Alliance Coal $52 - $1,415 49%
Allied National/Zelis - Freedom Plan $53 - $240 50%
Claimdoc $55 - $171 51%
Encorecombined $60 - $1,429 56%
Encoreprime $60 - $1,388 56%
Hope Trust $60 - $188 56%
Noncontracted $60 - $188 56%
Self Pay $94 - $1,204 88%
Cigna $129 - $1,341 121%
Claritev (Formerly Phcs/Mulitplan) $129 - $1,408 121%
First Health/Coventry $129 - $1,510 121%
Healthlink $129 - $1,735 121%
Sagamore $129 - $1,341 121%
Center Care $161 - $1,592 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals