CMS Price Transparency Data

CT scan, sinuses

Facility: Medicine Lodge Memorial Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $601
  • Cash Discount Price: $633
  • vs. Medicare Baseline: 5.63x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Medicine Lodge Memorial Hospital is $601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $633. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.63x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$633

Average discount available for prompt cash payment at this facility.

Insurance Median
$601

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $633 (593%)
Insurance Median: $601 (563%)
Cash: $633 (593% of Medicare)
Ins. Median: $601 (563% of 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 563% of the Medicare baseline (a markup of 463%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tricare $507 475%
Humana $576 539%
Aetna $585 - $633 548%
UnitedHealthcare $601 563%
Hpk-All Plans $601 563%
Medicaid / KanCare $633 593%

Consumer Guidance & Cost Commentary

For a CT scan of the sinuses at Medicine Lodge Memorial Hospital, the cash price is $633, which matches the highest negotiated rate paid by Aetna and the gross charge. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific state or county average benchmarks for comparison. It is important to note that for patients with high-deductible plans, paying the cash price of $633 upfront can sometimes be more cost-effective than relying on insurance, as commercial negotiated rates often exceed the cash price due to administrative overhead and contract structures. Patients should verify their specific plan details and ask the hospital directly about any "self-pay" or "prompt-pay" discounts that may reduce the final bill.

The Medicare benchmark for this procedure is $106.81, which serves as the objective baseline for evaluating pricing markups. Commercial rates, including the cash price of $633, represent a significant markup relative to this federal standard, reflecting the complex administrative costs and network dynamics inherent in commercial insurance. If you have insurance, the allowed amount is $601, but this does not guarantee the lowest possible price, as in-network rates vary by carrier and contract. To ensure you are not overcharged, request a full itemized bill to review every line item for accuracy and confirm that no unexpected balance billing is occurring, especially if you are concerned about out-of-network ancillary services.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals