CT scan, sinuses
Facility: Neosho Memorial Regional Medical Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $794
- Cash Discount Price: $1,860
- vs. Medicare Baseline: 7.43x 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 743% of the Medicare baseline (a markup of 643%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $531 - $794 | 497% |
| Tricare | $764 | 715% |
| Va_Ccn | $794 | 743% |
| Humana | $794 | 743% |
| Medadv_Allwell | $794 | 743% |
| Aetna | $794 | 743% |
| Medicare (plans) | $794 | 743% |
| Medadv_Uhc | $794 | 743% |
| Ambetter / Centene | $1,250 | 1170% |
| Wppa_Providrscare | $2,059 | 1928% |
| United | $2,064 | 1932% |
| Coventry | $2,356 | 2206% |
| Hpk | $2,356 | 2206% |
| Cigna | $2,356 | 2206% |
Consumer Guidance & Cost Commentary
For a CT scan of the sinuses at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $1,860, while the median negotiated rate across 15 payers is $794. This facility is a Critical Access Hospital with government local ownership, and its pricing is notably lower than the state average for this procedure. While many commercial payers have negotiated rates between $794 and $2,356, the cash price remains the lowest option available for self-pay patients. It is important to note that for individuals with high-deductible plans, paying the cash price upfront can sometimes be more cost-effective than relying on insurance, especially if the negotiated rate exceeds the cash price after deductibles are met. Patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
The facility's Medicare benchmarking rate is $106.81, which serves as a baseline for evaluating the cost of this service. The gross charge listed is $2,480, but the actual amount paid by insurance varies significantly by plan, ranging from $60 for Medicaid/KanCare to over $2,000 for other carriers. Because this is a Critical Access Hospital, the negotiated rates are generally more favorable than typical commercial rates, yet patients must remain vigilant regarding balance billing if they are out-of-network or if ancillary services like emergency physicians or labs are billed separately. To ensure accuracy, patients should request a full itemized bill before paying, as summary bills often obscure individual charges. If any discrepancies are found, a formal written audit dispute should