CT scan, sinuses
Facility: Labette Health
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $147
- Cash Discount Price: $1,090
- vs. Medicare Baseline: 1.38x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthy Blue | $61 - $93 | 57% |
| Medicaid / KanCare | $61 - $351 | 57% |
| Blue Cross Blue Shield | $98 - $480 | 92% |
| Wellcare | $98 | 92% |
| UnitedHealthcare | $98 - $2,030 | 92% |
| Humana | $98 | 92% |
| Kansas Superior Select | $101 | 95% |
| Uhccp | $106 - $211 | 99% |
| Ambetter / Centene | $113 - $195 | 106% |
| Montgomery County | $180 - $257 | 169% |
| Multiplan | $663 - $1,983 | 621% |
| Choicecare (First Health Network) | $702 - $2,100 | 657% |
| Health Partners Of Kansas, Inc | $702 - $2,100 | 657% |
Consumer Guidance & Cost Commentary
For the CT scan of the sinuses (CPT code 70486) at Labette Health in Parsons, KS, the facility's cash price of $1,090 is significantly higher than the state average, which is reflected in the 40% markup relative to the Medicare benchmark of $106.81. While the facility is a government-owned acute care hospital with a facility rating of 3, patients should be aware that commercial insurance negotiated rates vary widely among payers; for example, Healthy Blue pays a maximum of $93, whereas UnitedHealthcare's range extends up to $2,030. This disparity highlights that being in-network does not guarantee the lowest possible price, as some commercial contracts can exceed the cash-pay option, particularly if a patient has a high deductible and has not yet met their out-of-pocket threshold.
To optimize costs, patients should proactively contact the billing department to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can bypass administrative fees and reduce the final bill. Additionally, since the facility is in-network for most major payers, the No Surprises Act generally protects patients from balance billing for out-of-network services at this location, though it is still advisable to request an itemized bill to verify that no unbundled codes or services not rendered have been charged. Given the wide variance in allowed amounts across different insurers, comparing the specific negotiated rate for your plan against the cash price before scheduling is the most effective way to ensure you are not overpaying for this procedure.