CT scan, sinuses
Facility: Morris County Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $704
- Cash Discount Price: $1,082
- vs. Medicare Baseline: 6.59x 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 659% of the Medicare baseline (a markup of 559%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $147 | 138% |
| Blue Cross Blue Shield | $456 - $704 | 427% |
| Choice Care Mcr Adv-All Plans | $704 | 659% |
| UnitedHealthcare | $704 - $1,804 | 659% |
| Va Ccn-All Plans | $704 | 659% |
| Coventry Mcr | $704 | 659% |
| Cigna | $1,305 | 1222% |
| Aetna | $1,616 | 1513% |
| Multiplan-All Plans | $1,624 | 1520% |
| Coventry Comm-All Other Plans | $1,624 | 1520% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Morris County Hospital in Council Grove, Kansas, the cash price is $1,082, while the median amount paid by insurance is $1,004. Although the facility is a Critical Access Hospital with government ownership, the negotiated rates vary significantly by payer, ranging from $147 for Providrs Care to $1,624 for Multiplan and Coventry Comm-All Other Plans. The gross charge listed is $1,804, but patients should be aware that commercial insurance rates often include administrative overhead and can exceed the cash price; in this case, paying cash directly may result in a lower out-of-pocket cost if your deductible has already been met.
To ensure you are not overcharged, it is important to understand that hospitals often issue summary bills that obscure individual line items, making it difficult to spot errors or unbundled services. Before paying, request a full itemized CPT-coded statement to verify that every charge corresponds to a service actually rendered. Additionally, since balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, you should dispute any unexpected bills immediately rather than accepting them. Finally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if you settle the account upfront, effectively bypassing the higher administrative costs associated with insurance claims processing.