CT scan, sinuses
Facility: Mercy Hospital Columbus
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $1,075
- Cash Discount Price: $1,085
- vs. Medicare Baseline: 10.06x 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 1006% of the Medicare baseline (a markup of 906%). 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 |
|---|---|---|
| Centivo Contracted [320505] | $12 - $22 | 11% |
| Humana | $76 - $2,095 | 71% |
| Medicaid / KanCare | $76 - $1,601 | 71% |
| UnitedHealthcare | $91 - $1,830 | 85% |
| Blue Cross Blue Shield | $91 - $1,601 | 85% |
| Medicare (plans) | $100 - $1,665 | 94% |
| Health Systems Inc Contracted [320174] | $487 - $948 | 456% |
| Insurance System Inc Contracted [320465] | $487 - $948 | 456% |
| Administrative Payor Contracted [320005] | $509 - $992 | 477% |
| Kindful Hospice [20434] | $822 - $1,601 | 770% |
| Ambetter / Centene | $822 - $1,601 | 770% |
| Dept Of Veteran Affairs Contracted [320106] | $822 - $1,601 | 770% |
| Halo Hcr Inc Hospice [20432] | $822 - $1,601 | 770% |
| Qual Choice Contracted [320325] | $822 - $1,601 | 770% |
| Pace Of The Ozarks Contracted [320518] | $822 - $1,601 | 770% |
| Cherokee Nation Health Serv Contracted [320066] | $822 - $1,601 | 770% |
| Cigna | $822 - $1,601 | 770% |
| Cross Timbers Hospice [20098] | $822 - $1,601 | 770% |
| Mercy Mgd Behavioral Health Contracted [320259] | $822 - $1,601 | 770% |
| Home State Health Plan Contracted [320187] | $822 - $1,601 | 770% |
| Mercy Hospice Okc [20252] | $822 - $1,601 | 770% |
| Halo Hcr Inc Hospice Contracted [320432] | $822 - $1,601 | 770% |
| Elara Caring Aspire Hospice [20433] | $822 - $1,601 | 770% |
| Provider Partners Health Plans Contracted [320450] | $822 - $1,601 | 770% |
| Globalhealth Contracted [320145] | $822 - $1,601 | 770% |
| Aetna | $822 - $1,984 | 770% |
| Novasys Contracted [320285] | $822 - $1,601 | 770% |
| Indian Health Service Contracted [320198] | $822 - $1,601 | 770% |
| Kindful Hospice Contracted [320434] | $822 - $1,601 | 770% |
| Centurion Of Missouri [20459] | $822 - $1,601 | 770% |
| Medical Associates Health Contracted [320444] | $822 - $1,601 | 770% |
| Tricare | $824 - $1,606 | 771% |
| Healthscope Contracted [320182] | $873 - $1,700 | 817% |
| Workers Comp [20426] | $906 - $1,874 | 848% |
| United Medical Resources Contracted [320454] | $940 - $2,095 | 880% |
| Medica Contracted [320239] | $1,014 - $1,976 | 949% |
| Federal Medical Center Contracted [320127] | $1,019 - $1,984 | 954% |
| First Health Contracted [320128] | $1,019 - $1,984 | 954% |
| Healthlink Contracted [320179] | $1,019 - $2,095 | 954% |
| Preferred Health Plan Contracted [320522] | $1,019 - $1,984 | 954% |
| Usa Managed Care Org Contracted [320429] | $1,019 - $1,984 | 954% |
| Mercy Benefit Admin Contracted [320251] | $1,019 - $2,095 | 954% |
| American Healthcare Alliance Contracted [320020] | $1,019 - $1,984 | 954% |
| Show-Me Health Administrators Contracted [320483] | $1,075 - $2,095 | 1006% |
| Ppo Plus Contracted [320310] | $1,075 - $2,095 | 1006% |
| Benefit Management Contracted [320052] | $1,075 - $2,095 | 1006% |
| Private Health Care Systems Contracted [320320] | $1,075 - $2,095 | 1006% |
| Point C Contracted [320238] | $1,075 - $2,095 | 1006% |
| Ebms Contracted [320493] | $1,075 - $2,095 | 1006% |
| Auxiant Contracted [320462] | $1,075 - $2,095 | 1006% |
| Imagine 360 Contracted [320494] | $1,075 - $2,095 | 1006% |
| Edison Health Solutions Contracted [320502] | $1,075 - $2,095 | 1006% |
| Aither Health Contracted [320449] | $1,075 - $2,095 | 1006% |
| Reflect Health Contracted [320492] | $1,075 - $2,095 | 1006% |
| Yuzu Health Contracted [320521] | $1,075 - $2,095 | 1006% |
| 90 Degree Benefits Contracted [320436] | $1,075 - $2,095 | 1006% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Mercy Hospital Columbus, the facility's cash price is $1,085, which is notably higher than the state average cash median of $1,085. While the facility offers a negotiated rate of $1,075 for in-network patients, this amount remains significantly above the state's average negotiated rate of $1,075. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than using insurance, as the insurance negotiated rate often exceeds the cash price due to administrative overhead. Patients should verify their specific plan's deductible status before scheduling, as paying out-of-pocket may result in lower immediate costs if the insurance allowed amount is higher than the cash rate.
To avoid unexpected costs, patients should request a prompt-pay discount if they choose to pay the bill in full upfront, as hospitals often offer reductions of 20% to 50% for immediate payment to bypass costly claims processing. Additionally, if you are using insurance, ensure you receive an itemized bill rather than a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal audit. If you encounter a balance bill for out-of-network services, you may have protections under the No Surprises Act, which bans surprise billing for emergency care and non-emergency services at in-network facilities. Always dispute any unexpected charges in writing to ensure accuracy and protect yourself from potential overcharges.