CT scan, sinuses
Facility: Greenwood County Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $695
- Cash Discount Price: $658
- vs. Medicare Baseline: 6.51x 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 651% of the Medicare baseline (a markup of 551%). 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 |
|---|---|---|
| Triwest - All Plans | $294 | 275% |
| UnitedHealthcare | $346 - $691 | 324% |
| Tricare | $346 | 324% |
| Choicecare Mcr Adv - All Plans | $346 | 324% |
| Blue Cross Blue Shield | $430 - $453 | 403% |
| Integrated Health Plan - All Plans | $617 | 578% |
| First Health Ccn Network | $700 | 655% |
| Beech Street - All Plans | $700 | 655% |
| First Health - All Other Plans | $700 | 655% |
| Preferred Hs (Coventry) - All Plans | $741 | 694% |
| Principal Health Care Inc - All Plans | $782 | 732% |
| Amerigroup Mcaid-All Plans | $823 | 771% |
| Medicaid / KanCare | $823 | 771% |
| Providrs Care/Wppa - All Plans | $1,234 | 1155% |
Consumer Guidance & Cost Commentary
For this CT scan of the sinuses at Greenwood County Hospital in Eureka, Kansas, the facility's cash price of $658 is lower than the highest negotiated rates found among payers, which range from $294 to $1,234. While the median negotiated rate across all plans is $691, the cash price remains a strong baseline for patients. It is important to note that while cash payments can sometimes be cheaper for those with high-deductible plans, the facility is a Critical Access Hospital with government ownership, and commercial negotiated rates often include administrative overhead that pushes them above the cash price. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may exceed the cash rate, making self-pay a more economical option.
To ensure you are receiving the best possible rate, we recommend requesting a "prompt-pay" discount if you choose to pay upfront, as hospitals often offer reductions of 20% to 50% for immediate payment to bypass costly insurance billing cycles. Additionally, since over 80% of hospital bills contain errors, we strongly advise requesting a full itemized bill that lists every specific CPT code and charge rather than accepting a summary invoice. If you receive a balance bill for services rendered at this in-network facility, you may be protected under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and your insurance's allowed amount for emergency or non-emergency care. Always dispute any unexpected charges in writing to protect your rights.