CMS Price Transparency Data

CT scan, sinuses

Facility: Munson Healthcare Grayling Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $113
  • Cash Discount Price: $1,182
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Munson Healthcare Grayling Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,182. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$1,182

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $1,182 (1107%)
Insurance Median: $113 (106%)
Cash: $1,182 (1107% of Medicare)
Ins. Median: $113 (106% 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.

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 $26 - $249 24%
Mclaren Health Plan $26 - $777 24%
Meridian $26 - $54 24%
Molina $26 - $120 24%
Priority Health $26 - $311 24%
UnitedHealthcare $26 - $834 24%
Aetna $39 - $1,054 37%
Atrium King Centre Skilled Nursing Services $39 - $120 37%
Blue Care Network $39 - $120 37%
Hap (Health Alliance Plan) $39 - $1,112 37%
Humana $39 - $120 37%
Medicare (plans) $39 - $120 37%
Northern Michigan Mennonite Group $39 - $120 37%
Promedica $39 - $120 37%
Wellcare (Meridian) $39 - $120 37%
Wellspring Lutheran Services Skilling Nursing Services $39 - $120 37%
Michigan Amish Medical Board $45 - $138 42%
Provider Network Of America Group Health $55 - $1,182 51%
Cofinity $57 - $1,084 53%
Asr/Physicians Care $59 - $1,112 55%
Cigna $61 - $311 57%
Nomi Health $62 - $1,112 58%
Employee Benefits Logistics $66 - $204 62%
Hospice Of Michigan $834 781%
Munson Hospice $852 - $973 798%
Medical Cost Savings Solution $1,112 1041%
The Robbins Group And Regency Employee Benefits $1,112 1041%
Wds Enterprise Group Planning $1,112 1041%
First Health/Coventry Network $1,182 1107%
Three Rivers Provider Network $1,182 1107%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals