CMS Price Transparency Data

CT scan, sinuses

Facility: Community Health Network Rehabilitation Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,304
Cash Discount Price: $2,304
vs. Medicare Baseline: 21.57x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Community Health Network Rehabilitation Hospital is $2,304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,304. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.57x the Medicare baseline. Located in 7343 Clearvista Dr, Indianapolis, IN.

Cash / Self-Pay

$2,304

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,304

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: $2,304 (2157%)

Insurance Median: $2,304 (2157%)

Cash: $2,304 (2157% of Medicare)

Ins. Median: $2,304 (2157% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2157% of the Medicare baseline (a markup of 2057%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Encore	$1,475	1381%
UnitedHealthcare	$1,569 - $2,304	1469%
Encore Combined	$1,613	1510%
Parkview Signature Care	$1,843	1725%
Aetna	$2,304	2157%
Allwell From Mhs	$2,304	2157%
Ambetter / Centene	$2,304	2157%
Blue Cross Blue Shield	$2,304	2157%
Caresource Hip-Mcd	$2,304	2157%
Caresource Marketplace	$2,304	2157%
Cigna	$2,304	2157%
Community Health Direct	$2,304	2157%
Humana	$2,304	2157%
Medicaid / KanCare	$2,304	2157%
Medicare (plans)	$2,304	2157%
Mhs Hip-Mcd	$2,304	2157%
Mytru Advantage	$2,304	2157%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,304.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Community Health Network Rehabilitation Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.