CMS Price Transparency Data

CT scan, sinuses

Facility: Deaconess Henderson Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $122
  • Cash Discount Price: $422
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Deaconess Henderson Hospital is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$422

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $422 (395%)
Insurance Median: $122 (114%)
Cash: $422 (395% of Medicare)
Ins. Median: $122 (114% 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.

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
Aetna $37 - $1,365 35%
Blue Cross Blue Shield $37 - $188 35%
Humana $37 - $1,126 35%
Medicare (plans) $37 - $113 35%
Mhs Mco $37 - $113 35%
Molina Healthcare Of Ky $37 - $113 35%
Molina Healthcare Of Ky - Exchange $37 - $113 35%
Mytru Advantage $37 - $113 35%
Umwa $37 - $113 35%
UnitedHealthcare $37 - $281 35%
Wellcare Il $37 - $113 35%
Wellcare Ky $37 - $128 35%
Caresource In $38 - $120 36%
Medicaid / KanCare $38 - $281 36%
Center Care Narrow $39 - $896 37%
Center Care Open Access $39 - $596 37%
Caresource In Marketplace $48 - $147 45%
Wellcare Ky Commercial Exchange $48 - $198 45%
Alliance Coal $51 - $156 48%
Noncontracted $59 - $181 55%
Encircle/Encore Combined $60 - $814 56%
Encircle/Encore Prime $60 - $759 56%
Ky Racing Health & Welfare Fund $94 - $408 88%
Self-Pay $94 - $422 88%
First Health Network (Coventry) $129 - $1,196 121%
Healthlink $129 - $1,055 121%
Iu Health Plans $129 - $755 121%
Phcs/Multiplan $129 - $1,266 121%
Sagamore $129 - $1,238 121%
Amish And Mennonite Of Western Ky $145 - $561 136%
Cigna $161 - $900 151%
Claimdoc $161 - $844 151%
Hopetrust $161 - $518 151%
Hstechnology $161 - $518 151%
One Care $212 198%
Coventry National Network $214 - $1,126 200%
Webster County Detention Center $214 - $1,126 200%
Henderson County Detention Center $241 - $1,266 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals