CT scan, sinuses
Facility: Minneola District Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $490
- Cash Discount Price: $338
- vs. Medicare Baseline: 4.59x 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 459% of the Medicare baseline (a markup of 359%). 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 | $38 - $615 | 36% |
| Humana | $38 - $412 | 36% |
| Va Community Care Program-All Plans | $38 - $412 | 36% |
| Medicaid / KanCare | $106 - $615 | 99% |
| Aetna | $106 - $615 | 99% |
| Providrs Care Network-All Plans | $106 - $523 | 99% |
| Blue Cross Blue Shield | $458 | 429% |
| Corporate Plan Management-All Plans | $523 | 490% |
| Preferred Health Care (Coventry)-All Other Plans | $554 | 519% |
| Triwest-All Plans | $554 | 519% |
| Health Partners Of Kansas-All Plans | $584 | 547% |
| Phc (Coventry) Leased Network | $584 | 547% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Minneola District Hospital in Minneola, KS, the facility's cash median price is $338.00, which is lower than the state average of $483.00. While the hospital is a Critical Access Hospital owned by the Government - Hospital District or Authority, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the median negotiated rate across payers is $554.00, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they qualify for the facility's self-pay or prompt-pay discounts. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than the cash rate.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The gross chargemaster rate listed is $483.00, and while the facility's negotiated rates vary by payer—ranging from $38 to $615—the data indicates that the cash price is the most transparent metric for consumers. Patients should avoid accepting summary bills that obscure individual charges, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a bill that seems inconsistent with the cash or negotiated rates, request a formal itemized audit via certified mail to identify discrepancies before making a payment. Always check with the hospital directly for any available prompt-pay discounts before check-in to ensure you are not inadvertently triggering balance billing or higher insurance claims