CT scan, sinuses
Facility: Lindsborg Community Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $2,473
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 23.15x 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 2315% of the Medicare baseline (a markup of 2215%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $453 | 424% |
| Tricare | $1,270 | 1189% |
| Coventry Mcr Adv | $1,283 | 1201% |
| Cigna | $2,297 | 2151% |
| UnitedHealthcare | $2,432 | 2277% |
| Coventry Comm-All Other Plans | $2,432 | 2277% |
| Phcs Preferred-All Plans | $2,513 | 2353% |
| Multiplan-All Plans | $2,513 | 2353% |
| Century Health-All Plans | $2,567 | 2403% |
| Coventry Wc | $2,567 | 2403% |
| Health Partners -All Plans | $2,567 | 2403% |
| Wppa-All Plans | $2,567 | 2403% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Lindsborg Community Hospital, the cash price is $1,892, which is lower than the facility's negotiated rates of $2,473 and the median paid amount of $2,513. This cash rate is also significantly lower than the gross charge of $2,703. While commercial insurance plans like Blue Cross Blue Shield and Tricare have negotiated rates of $453 and $1,270 respectively, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially beneficial to pay the cash price directly, provided they verify that the facility offers a "self-pay" or "prompt-pay" discount to further reduce the cost.
The facility's pricing is evaluated against Medicare benchmarks, where the Medicare amount for this service is $106.81. The cash price of $1,892 represents a substantial markup compared to the federal baseline, reflecting the commercial nature of the billing. Although the data does not include specific state or county average comparisons for this specific procedure, the facility is a Critical Access Hospital in Lindsborg, KS, and its rates are subject to federal protections under the No Surprises Act. Consumers are advised to request an itemized bill to ensure no errors exist and to confirm that any out-of-network ancillary services are covered by federal regulations to prevent unexpected balance billing.