CT scan, sinuses
Facility: Goodland Regional Medical Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $802
- Cash Discount Price: $802
- vs. Medicare Baseline: 7.51x 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 751% of the Medicare baseline (a markup of 651%). 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 | $458 | 429% |
| Wppa | $757 - $802 | 709% |
| UnitedHealthcare | $802 | 751% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Goodland Regional Medical Center in Goodland, Kansas, the cash median price is $802.00, which is notably lower than the facility's gross charge of $891.00. While the facility is in-network for Blue Cross Blue Shield, Wppa, and UnitedHealthcare, the negotiated rates for these payers range from $458 to $802. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $802.00 cash median aligns with the median negotiated rate for UnitedHealthcare and exceeds the lowest negotiated rate offered by Blue Cross Blue Shield. It is important to note that commercial negotiated rates often include administrative costs for claims processing, which can inflate the final bill compared to a direct cash payment.
To secure the lowest possible cost, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling their appointment, as these upfront payment incentives can reduce the total bill by 20% to 50%. Since the facility is a Critical Access Hospital with government-local ownership, verifying the specific self-pay rate at registration is crucial to avoid being billed the full gross charge. Additionally, while the Medicare amount for this service is $106.81, commercial rates are significantly higher; however, the cash price remains the most transparent benchmark for determining the true cost of care without insurance involvement.