CT scan, sinuses
Facility: Kingman Healthcare Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $106
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.99x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $106 | 99% |
| Healthy Blue | $106 | 99% |
| Aetna | $412 | 386% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate is $106.00, which matches the lowest and highest amounts paid by all three insurance plans in this dataset: Medicaid/KanCare, Healthy Blue, and Aetna. This rate is identical to the Medicare benchmark of $106.81, indicating that the facility is charging exactly the federal government's cost-based standard rather than applying a commercial markup. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data shows no cash or self-pay median available for this service. Patients should still inquire directly with the billing department about potential "self-pay" or "prompt-pay" discounts, as these upfront fee reductions can sometimes lower the final cost below the insurance negotiated rate, particularly for those with high-deductible plans.
Because the negotiated rate here equals the Medicare amount, there is no significant price gap between what insurance pays and the federal baseline. However, patients should remain vigilant regarding balance billing and itemized billing audits. Although the No Surprises Act protects against surprise bills for out-of-network providers at in-network facilities, it is crucial to request a full, line-by-line itemized bill before paying any amount to ensure no unbundled codes or services not rendered are included. If you receive a summary bill showing only broad categories like "Laboratory," you should demand the detailed CPT-coded statement to verify that the $106.00 charge accurately reflects the service provided without hidden fees.