CMS Price Transparency Data

CT scan, sinuses

Facility: Berkshire Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$156

about 1.5× the $107 Medicare rate · typically $125–$210

modeled estimate · not a bill or quote

What this hospital charges insurers

$135

Below the fair price — a good deal

about $21 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $156 This hospital $135 Cash price $1,515 Hospital's list price $1,595

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $113 Priciest $135

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $156 (about 1.5× the $107 Medicare rate). Berkshire Medical Center charges insurers about $135, or about $1,515 in cash — below the fair price — a good deal. Located in Pittsfield, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$134 - $1,372	125%
Blue Cross Blue Shieldmajor	$138 - $1,356	129%
Aetnamajor	$158 - $1,204	148%
Cignamajor	$966 - $1,483	904%
CDPHP	$90 - $1,435	84%
MVP Health Care	$966 - $1,435	904%
Tufts Health Plan	$115 - $901	108%
UniCare	$302 - $1,034	283%
+ 14 smaller / regional plans	$88 - $1,515

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,515), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm Berkshire Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Berkshire Medical Center

Compare: CT scan, sinuses at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.