CT scan, sinuses
Facility: Overland Park Reg Med Ctr
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $1,653
- Cash Discount Price: $7,821
- vs. Medicare Baseline: 15.48x 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 1548% of the Medicare baseline (a markup of 1448%). 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 |
|---|---|---|
| Amerigroup | $60 | 56% |
| United | $60 - $3,719 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $4,215 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $181 | 114% |
| Multiplan | $126 - $6,115 | 118% |
| Corvel Corporation | $149 - $5,372 | 140% |
| Oha Network | $156 - $4,132 | 146% |
| Blue Cross Blue Shield | $339 - $3,554 | 317% |
| Humana | $373 - $481 | 349% |
| Ambetter / Centene | $1,372 - $1,537 | 1285% |
| Nhc Advantage | $1,402 - $1,570 | 1313% |
| Wppa Providrs Care Network | $1,476 - $1,653 | 1382% |
| Universal Healthcare | $2,582 - $2,892 | 2417% |
| Coventry | $2,966 - $3,322 | 2777% |
| Coventry Kc Mo | $3,025 - $3,388 | 2832% |
| College Park Family Care Center | $3,173 - $3,554 | 2971% |
| Triwest Health Alliance | $5,534 - $6,198 | 5181% |
| Cco, Inc. | $5,534 - $6,198 | 5181% |
| Focus Healthcare Mgmt, Inc | $5,534 - $6,198 | 5181% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses (CPT 70486), the cash price at Overland Park Reg Med Ctr in Overland Park, KS, is $7,821. This cash rate is significantly higher than the state average, which is 15.5% above the Medicare benchmark of $106.81. While the facility offers a median negotiated rate of $1,653 for in-network insurance plans, patients with high-deductible plans may find that paying the cash price directly is more cost-effective if their insurance negotiated rate exceeds this amount. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can inflate the baseline price, so comparing the cash price against your specific plan's allowed amount is essential before scheduling.
To ensure you are not overcharged, we recommend requesting a full itemized billing audit before finalizing payment, as summary bills often obscure individual line items and potential errors. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% for upfront payment. Additionally, be aware that while the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, it is crucial to verify that all ancillary services, such as lab work or imaging, are covered under the same network agreement to avoid unexpected secondary charges.