CMS Price Transparency Data

CT scan, sinuses

Facility: Bienville Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $896
Cash Discount Price: $995
vs. Medicare Baseline: 8.39x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Bienville Medical Center is $896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $995. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.39x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$995

Average discount available for prompt cash payment at this facility.

Insurance Median

$896

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: $995 (932%)

Insurance Median: $896 (839%)

Cash: $995 (932% of Medicare)

Ins. Median: $896 (839% 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 839% of the Medicare baseline (a markup of 739%). 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
Aetna	$97 - $1,659	91%
Medicaid / KanCare	$97 - $974	91%
Mmd Amerihealth Caritas	$97 - $974	91%
Mmd Healthy Blue	$97 - $974	91%
Mmd La Hlth Conn	$97 - $974	91%
Mmd Misc	$97 - $974	91%
UnitedHealthcare	$97 - $974	91%
Cashiering	$664 - $995	622%
Cigna	$830	777%
Ambetter / Centene	$896	839%
Humana	$896 - $1,071	839%
Mcr American Hlth Adv	$896	839%
Medicare (plans)	$896	839%
Misc Mgd Care	$896 - $1,659	839%
Mmc Blue Advantage	$896	839%
Mmc Misc	$896	839%
Peoples Health Mcr Adv	$896	839%
Va Health	$896	839%
Blue Cross Blue Shield	$999	935%
Wc City Of Arcadia	$1,493	1398%
Wc House Of Raeford	$1,493	1398%
Wc Misc	$1,493	1398%
Wc Stonetrust	$1,493	1398%
Aarp	$1,659	1553%
Allegiance Health Managme	$1,659	1553%
Amfirst	$1,659	1553%
Apwu	$1,659	1553%
Liberty Mutual	$1,659	1553%
Misc Comm A-L	$1,659	1553%
Misc Comm M-Z	$1,659	1553%
Tricare	$1,659	1553%

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 $995.
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 Bienville Medical Center 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.