CT scan, sinuses
Facility: Kearny County Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $716
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.70x 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 670% of the Medicare baseline (a markup of 570%). 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 |
|---|---|---|
| UnitedHealthcare | $570 - $716 | 534% |
| Humana | $570 | 534% |
| Community Care Health Plan Of | $570 | 534% |
| Aetna | $570 - $716 | 534% |
| Blue Cross Blue Shield | $716 | 670% |
| Wps Gha - Mac J5 Part A | $716 | 670% |
Consumer Guidance & Cost Commentary
For the CT scan of the sinuses at Kearny County Hospital in Lakin, KS, the facility's negotiated rates range from $570 to $716 depending on your specific insurance plan. This facility is a Critical Access Hospital owned by the local government, and while its negotiated rates are competitive, they are notably higher than the state average for this procedure. The Medicare benchmark for this service is $106.81, which serves as a reliable baseline for understanding the true cost of care; commercial negotiated rates often exceed this by a significant margin due to administrative overhead and contract structures. Patients should be aware that while in-network status protects against balance billing, it does not guarantee the lowest possible price, as different insurers within the same network may have varying contract ceilings.
If you are paying out-of-pocket, the cash median is not available for this code, but you should still inquire about self-pay or prompt-pay discounts before scheduling your appointment. Hospitals often offer substantial fee reductions, typically ranging from 20% to 50%, for patients who pay upfront, bypassing the costly claims processing cycle that inflates insurance rates. It is important to request a waiver of insurance submission at registration to ensure these cash rates apply and to avoid automatic claims that could void any potential discount. Given that over 80% of hospital bills contain errors, we strongly recommend requesting a full itemized statement to verify that all charges are accurate and that no unbundled codes or services not rendered have been included in your final bill.