CMS Price Transparency Data

CT scan, sinuses

Facility: Murray-Calloway County Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $939
Cash Discount Price: $1,811
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Murray-Calloway County Hospital is $939. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,811. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.79x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$1,811

Average discount available for prompt cash payment at this facility.

Insurance Median

$939

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: $1,811 (1696%)

Insurance Median: $939 (879%)

Cash: $1,811 (1696% of Medicare)

Ins. Median: $939 (879% 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 879% of the Medicare baseline (a markup of 779%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$98 - $939	92%
Humana	$98 - $1,881	92%
Tricare	$98	92%
Triwest - All Plans	$98	92%
Wellcare Mcr Adv	$100	94%
Wellcare Health Plan Inc	$113	106%
Medben Mcch Employees	$167	156%
Ambetter / Centene	$191	179%
Health Cost Solutions - All Plans	$245	229%
Medben City Of Murray - All Other Plans	$450	421%
Aetna	$939	879%
Coventry Cares Of Ky - All Plans	$939	879%
Medicaid / KanCare	$939	879%
Passport Health - All Plans	$939	879%
Occunet - All Plans	$1,393	1304%
UnitedHealthcare	$1,426	1335%
Center Care - All Plans	$2,006	1878%
Bluegrass - All Plans	$2,090	1957%
Three Rivers - All Plans	$2,229	2087%
First Health - All Plans	$2,507	2347%
Healthsmart - All Plans	$2,507	2347%
Multiplan - All Plans	$2,507	2347%
Corvel Corporation - All Plans	$2,786	2608%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,811.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Murray-Calloway County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.