CT scan, sinuses
Facility: Menorah Medical Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $489
- Cash Discount Price: $11,822
- vs. Medicare Baseline: 4.58x 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 458% of the Medicare baseline (a markup of 358%). 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 |
|---|---|---|
| United | $60 - $5,320 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $6,029 | 58% |
| Unicare | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $9,458 | 114% |
| Multiplan | $126 - $8,748 | 118% |
| Corvel Corporation | $149 - $7,684 | 140% |
| Oha Network | $156 - $5,911 | 146% |
| Blue Cross Blue Shield | $339 - $5,320 | 317% |
| Humana | $373 - $481 | 349% |
| Ambetter / Centene | $2,199 | 2059% |
| Nhc Advantage | $2,246 | 2103% |
| Wppa Providrs Care Network | $2,364 | 2213% |
| Universal Healthcare | $4,138 | 3874% |
| Coventry | $4,752 | 4449% |
| Coventry Kc Mo | $4,847 | 4538% |
| College Park Family Care Center | $5,084 | 4760% |
| Focus Healthcare Mgmt, Inc | $8,867 | 8302% |
| Cco, Inc. | $8,867 | 8302% |
| Triwest Health Alliance | $8,867 | 8302% |
Consumer Guidance & Cost Commentary
For the CT scan of the sinuses at Menorah Medical Center in Overland Park, Kansas, the cash price is $11,822.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 4.6x markup relative to the Medicare benchmark of $106.81. While commercial insurance plans like United and Amerigroup offer negotiated rates as low as $60, these amounts are often subject to deductibles and copays, meaning the actual out-of-pocket cost could exceed the cash price for patients with high-deductible plans. Patients should verify their specific plan details before scheduling, as paying cash upfront may sometimes result in a lower total cost than relying on insurance reimbursement.
To minimize unexpected costs, it is advisable to request a prompt-pay discount or self-pay rate directly from the hospital before receiving the bill, as these discounts can reduce the total amount owed. Additionally, patients should avoid accepting summary bills and instead demand a full itemized statement to identify any errors, unbundled codes, or services not rendered, since over 80% of hospital bills contain inaccuracies. If a patient receives a balance bill from an out-of-network provider, they may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Disputing such bills in writing with the insurer is the most effective way to challenge unexpected charges and ensure fair pricing.