CT scan, sinuses
Facility: Centura St. Catherine-Dodge City
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $1,783
- Cash Discount Price: $1,084
- vs. Medicare Baseline: 16.69x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1669% of the Medicare baseline (a markup of 1569%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $79 - $2,168 | 74% |
| Kansas Health | $79 | 74% |
| Medicare (plans) | $79 | 74% |
| Cigna | $79 | 74% |
| Humana | $79 | 74% |
| Kaiser | $79 | 74% |
| Blue Cross Blue Shield | $79 - $565 | 74% |
| Centura Employee Plan | $337 | 316% |
| UnitedHealthcare | $1,783 | 1669% |
| Wpaa | $1,897 | 1776% |
| Multiplan | $2,168 - $2,439 | 2030% |
| Christian Health Aid | $2,168 | 2030% |
| Health Partners Of Kansas | $2,439 | 2283% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Centura St. Catherine-Dodge City, the cash median price is $1,084, which is significantly lower than the facility's typical negotiated rates ranging from $79 to $2,439 depending on the insurance plan. While many commercial payers have negotiated rates that exceed the cash price, the facility's cash rate is notably higher than the state average for this procedure, which is approximately $86 based on the median paid data. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as it avoids the substantial administrative markups often embedded in commercial negotiated rates. However, because the cash rate is above the state average, patients should verify if their specific insurance plan offers a lower allowed amount before deciding to pay out-of-pocket.
To ensure you are not overcharged, it is critical to request a full itemized bill rather than accepting a summary invoice, as hospitals often use broad categories to obscure individual charges. If you receive a balance bill for the difference between the provider's full charge and your insurance allowed amount, you may have rights under the No Surprises Act, which prohibits balance billing for emergency care and non-emergency services at in-network facilities. Additionally, you should ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates commercial rates. Always dispute any unexpected charges in writing to protect your financial interests.