CMS Price Transparency Data

CT scan, sinuses

Facility: Brigham and Women Faulkner Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$157

about 1.5× the $107 Medicare rate · typically $123–$338

modeled estimate · not a bill or quote

What this hospital charges insurers

$118

Below the fair price — a good deal

about $39 under the fair price · 1.1× Medicare

Medicare pays $107 Fair price $157 This hospital $118 Cash price $1,522 Hospital's list price $2,029

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 6 of 8 other MA hospitals charge more for the same procedure.

Cheapest $113 Priciest $128

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 $157 (about 1.5× the $107 Medicare rate). Brigham and Women Faulkner Hospital charges insurers about $118, or about $1,522 in cash — below the fair price — a good deal. Located in Jamaica Plain, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$124 - $721	116%
Blue Cross Blue Shieldmajor	$126 - $341	118%
Harvard Pilgrim	$113	106%
Molina	$126	118%
Tufts Health Plan	$124	116%
+ 2 smaller / regional plans	$113 - $126

Government programs also on file: Medicare.

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 1,522), 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 Brigham and Women Faulkner Hospital 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 Brigham and Women Faulkner Hospital

Compare: CT scan, sinuses at other MA hospitals

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