CT scan, sinuses
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $546
- Cash Discount Price: $682
- vs. Medicare Baseline: 5.11x 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 511% of the Medicare baseline (a markup of 411%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $182 | 170% |
| UnitedHealthcare | $220 - $758 | 206% |
| Berkley Net-All Plans | $303 | 284% |
| Aetna | $334 - $515 | 313% |
| Trustmark Health Benefits-All Plans | $334 | 313% |
| Meritain Health-All Plans | $341 | 319% |
| Ambetter / Centene | $364 | 341% |
| Axa Equitable - All Plans | $417 | 390% |
| Pinnacol-All Plans | $424 | 397% |
| Medi-Share-All Plans | $432 | 404% |
| Presbyterian-All Plans | $462 | 433% |
| Kasb Work Comp - All Plans | $485 | 454% |
| The Kempton Group Admin-All Plans | $523 | 490% |
| Gpha(Wppa)-All Other Plans | $531 | 497% |
| Auxiant - All Plans | $531 | 497% |
| Wppa- All Plans | $538 | 504% |
| Sisco-All Plans | $546 | 511% |
| Emc-All Plans | $546 | 511% |
| Providers Care Network- All Plans | $546 | 511% |
| Gpha Employee Benefit Plan | $553 | 518% |
| Employee Benefit-All Plans | $568 | 532% |
| Regional Care(Wppa)-All Plans | $568 | 532% |
| Triangle-All Plans | $576 | 539% |
| First Health -All Plans | $576 | 539% |
| One Call Physician-All Plans | $584 | 547% |
| Blue Cross Blue Shield | $599 | 561% |
| Tricare | $606 | 567% |
| Christian Hospital Aid - All Plans | $606 | 567% |
| Humana | $652 | 610% |
| Cigna | $667 | 624% |
| Luminare Health- All Plans | $667 | 624% |
| Deseret Mutual(Uhis)-All Plans | $682 | 639% |
| Coresource-All Plans | $682 | 639% |
| Vaccn-All Plans | $697 | 653% |
| Reserve National-All Plans | $720 | 674% |
| Wps Vapc-All Plans | $720 | 674% |
| Hma Llc-All Plans | $720 | 674% |
| Medicaid / KanCare | $758 | 710% |
Consumer Guidance & Cost Commentary
For this CT scan of the sinuses at Satanta District Hospital, the cash price is $682.00, which is lower than the median negotiated rate of $546.00 paid by most insurance plans. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average rates for comparison. Because commercial insurance contracts often include administrative overhead and multi-layered pricing structures, the negotiated rate can sometimes exceed the cash price. If you have a high-deductible plan or have already met your deductible, paying the cash price of $682.00 directly may result in lower out-of-pocket costs than your insurance allowing a higher negotiated amount.
Patients should verify their specific plan details before scheduling, as insurance companies negotiate different rates for the same service, and some in-network facilities charge significantly more than others. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if you receive a bill from an out-of-network provider or for services rendered at an in-network facility, you may be protected by the No Surprises Act, which bans balance billing for emergency care and non-emergency services. Always request a detailed, itemized bill to ensure there are no errors, double-billed codes, or services that were not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.