CMS Price Transparency Data

CT scan, sinuses

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $208
Cash Discount Price: $959
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Surgical Specialty Center of Baton Rouge is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $959. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.95x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$959

Average discount available for prompt cash payment at this facility.

Insurance Median

$208

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: $959 (898%)

Insurance Median: $208 (195%)

Cash: $959 (898% of Medicare)

Ins. Median: $208 (195% 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.

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
Cigna	$92	86%
Humana	$93 - $156	87%
Blue Cross Blue Shield	$95 - $139	89%
Medadv-Peoples	$95	89%
Medicare (plans)	$95	89%
Tricare	$95	89%
UnitedHealthcare	$95	89%
Va	$96	90%
Aetna	$98 - $156	92%
Wellcare	$99	93%
Lucent	$133	125%
Verity	$136	127%
Amerihealth	$156	146%
Healthy_Blue	$156	146%
Lhc	$156	146%
Medicaid / KanCare	$156	146%
United_Caid	$156	146%
Ambetter / Centene	$198	185%
Workcomp_Saints	$218	204%
Lsufirst	$223	209%
United	$245	229%
Southern-Univ	$300	281%
Ehn	$355	332%
Coventry	$425	398%
Workcomp_Cov	$425	398%
Promise_Hosp	$450	421%
Lsu	$500	468%
Uhc_Commcoffee	$504	472%
Gilsbar	$627	587%
Multiplan-Pos	$767	718%
Multiplan-Ppo	$767	718%
Ppoplus	$780	730%
Stjude	$831	778%
Bayou-Med	$895	838%
Dma	$895	838%
Womans_Hosp	$895	838%
Reny	$959	898%
Workcomp_3R	$1,036	970%
Three_Rivers	$1,087	1018%
Workcomp_Strat	$1,087	1018%
Geha	$1,126	1054%
Workcomp_Fp	$1,151	1078%
Usa_Mco	$1,202	1125%

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 $959.
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 Surgical Specialty Center of Baton Rouge 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.