CMS Price Transparency Data

CT scan, sinuses

Facility: Norton Hospitals, Inc

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,119
Cash Discount Price: $682
vs. Medicare Baseline: 10.48x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Norton Hospitals, Inc is $1,119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $682. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.48x the Medicare baseline. Located in 200 East Chestnut Street, Louisville, KY.

Cash / Self-Pay

$682

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,119

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: $682 (639%)

Insurance Median: $1,119 (1048%)

Cash: $682 (639% of Medicare)

Ins. Median: $1,119 (1048% 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 1048% of the Medicare baseline (a markup of 948%). 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	$54 - $2,961	51%
Aetna	$100 - $2,495	94%
UnitedHealthcare	$100 - $3,142	94%
Wellcare	$100	94%
Passport	$682	639%
Humana	$818 - $1,534	766%
Cigna	$1,044 - $2,266	977%
Siho	$1,193 - $2,556	1117%
Siho In Exchange	$2,386	2234%
Multiplan	$2,658 - $2,897	2489%
Correct Care	$2,829	2649%
Correct Care Ob & Gyn	$2,829	2649%

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 $682.
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 Norton Hospitals, Inc 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.