CMS Price Transparency Data

CT scan, sinuses

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$238

about 2.2× the $107 Medicare rate · typically $138–$272

modeled estimate · not a bill or quote

What this hospital charges insurers

$265

About the fair price

about $27 over the fair price · 2.5× Medicare

Medicare pays $107 Fair price $238 This hospital $265 Cash price $496 Hospital's list price $1,838

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $41 Priciest $265

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

A fair price for a CT scan, sinuses is about $238 (about 2.2× the $107 Medicare rate). The Orthopaedic Hospital of Lutheran Health Networ charges insurers about $265, or about $496 in cash — about the fair price. Located in Ft Wayne, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$98 - $1,538	92%
Blue Cross Blue Shieldmajor	$109 - $455	102%
Aetnamajor	$109 - $917	102%
Cignamajor	$626 - $1,891	586%
Humanamajor	$109 - $406	102%
CareSource	$406	380%
Devoted Health	$111	104%
+ 21 smaller / regional plans	$109 - $1,513

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 13 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 496), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm The Orthopaedic Hospital of Lutheran Health Networ is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at The Orthopaedic Hospital of Lutheran Health Networ

Compare: CT scan, sinuses at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.