CMS Price Transparency Data

CT scan, sinuses

Facility: Bob Wilson Memorial Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $1,990
  • Cash Discount Price: $974
  • vs. Medicare Baseline: 18.63x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Bob Wilson Memorial Hospital is $1,990. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $974. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.63x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$974

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,990

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $974 (912%)
Insurance Median: $1,990 (1863%)
Cash: $974 (912% of Medicare)
Ins. Median: $1,990 (1863% of 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 1863% of the Medicare baseline (a markup of 1763%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centura Employee Plan $337 316%
Blue Cross Blue Shield $641 600%
Aetna $779 - $1,948 729%
UnitedHealthcare $779 - $2,031 729%
Kansas Health $779 729%
Humana $779 729%
Medicare (plans) $779 729%
Multiplan $2,192 - $2,265 2052%
Health Partners Of Kansas $2,289 2143%
Wppa $2,314 2166%

Consumer Guidance & Cost Commentary

For this CT scan of the sinuses at Bob Wilson Memorial Hospital in Ulysses, Kansas, the cash payment rate of $974 is significantly lower than the facility's gross charge of $2,435 and the Medicare benchmark of $106.81, which serves as the objective baseline for evaluating hospital pricing markups. While the hospital operates as a voluntary non-profit church-owned Critical Access Hospital, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative structures and contract dynamics; in this case, the median negotiated rate of $1,990 and the median paid rate of $614 reflect the specific payer contracts, with some plans like Aetna and UnitedHealthcare having wide ranges between their high and low allowable amounts.

To minimize out-of-pocket costs, consumers should verify if their specific insurance plan falls within the range of the 10 payers listed for this service, noting that some plans have identical high and low rates while others, such as Multiplan and Health Partners Of Kansas, show variations between $2,192 and $2,289. If your insurance deductible has not yet been met, you may avoid paying the full negotiated amount, but if you have a high-deductible plan, paying the cash price of $974 upfront could be more cost-effective than the insurance negotiated rate, provided you can secure a prompt-pay discount. It is essential to request a self-pay or prompt-pay discount before scheduling to bypass costly claims processing and administrative fees, ensuring you receive the most accurate and favorable rate available for this procedure.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals