CT scan, sinuses
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $506
- Cash Discount Price: $335
- vs. Medicare Baseline: 4.74x 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 474% of the Medicare baseline (a markup of 374%). 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 |
|---|---|---|
| Ku Athletics [503200094] | $98 | 92% |
| UnitedHealthcare | $98 | 92% |
| Workers Comp [503999901] | $98 | 92% |
| Medicare (plans) | $100 | 94% |
| Blue Cross Blue Shield | $101 | 95% |
| Allwell [503200078] | $101 | 95% |
| Tricare | $103 | 96% |
| Humana | $103 | 96% |
| Triwest [503201703] | $103 | 96% |
| Centurion [5032000966] | $127 | 119% |
| Ambetter / Centene | $142 | 133% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| 6 Degrees Health [503999050] | $244 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $309 | 289% |
| Meritain Health [503200039] | $703 - $1,004 | 658% |
| Alt Wppa [5032000964] | $703 | 658% |
| Wppa [503200056] | $703 | 658% |
| Alt Carelon Behavioral Health [503200905] | $836 | 783% |
| Cigna | $1,004 - $1,338 | 940% |
| National Assn Letter Carriers [503200019] | $1,004 | 940% |
| Php [503200005] | $1,004 | 940% |
| Aetna | $1,004 | 940% |
| Allied National [503999937] | $1,004 | 940% |
| First Health [5032000110] | $1,004 | 940% |
| Alt Meritain Health [503999911] | $1,004 | 940% |
| Aha-Healthcare Preferred [503200050] | $1,004 | 940% |
| Correct Care Solutions [50311253] | $1,171 | 1096% |
| Usa Managed Care [503999030] | $1,506 | 1410% |
Consumer Guidance & Cost Commentary
For the CPT code 70486 representing a CT scan of the sinuses, the University of KS Health System Great Bend Campus has a cash median price of $335.00, which is significantly lower than the facility's negotiated rates of $506.00 and the gross charge of $1,673.00. While the facility's negotiated rates are higher than the cash price, patients with high-deductible plans may find the cash option more cost-effective if their insurance negotiated rate exceeds $335.00. It is important to note that the facility's cash rate is not directly comparable to state or county averages in this dataset, as the provided data focuses on specific payer negotiations and the facility's internal cash pricing structure.
The Medicare benchmark for this service is $106.81, which serves as a critical baseline for evaluating the facility's pricing. The facility's cash rate of $335.00 represents approximately 313% of the Medicare amount, while the median negotiated rate of $506.00 is roughly 474% of the Medicare benchmark. Commercial insurance payers negotiate rates that vary widely, ranging from $98 for Ku Athletics to $1,506 for USA Managed Care, with many plans falling between $1,004 and $1,171. To minimize costs, patients should verify their specific plan's allowed amount before scheduling and consider requesting a prompt-pay discount or self-pay classification if they choose to pay out-of-pocket, as these incentives can bypass the administrative overhead associated with insurance billing cycles.