CMS Price Transparency Data

CT scan, sinuses

Facility: Mercy Health Saint Mary's

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$151
about 1.4× the $107 Medicare rate · typically $110–$269
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
About the fair price
about $12 under the fair price · 1.3× Medicare
Medicare pays $107 Fair price $151 This hospital $139 Cash price $841 Hospital's list price $1,294

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $38 Priciest $139

Black dot = this hospital, among the 9 MI 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 $151 (about 1.4× the $107 Medicare rate). Mercy Health Saint Mary's charges insurers about $139, or about $841 in cash — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $107 - $1,294 100%
Blue Cross Blue Shieldmajor $58 - $143 54%
Aetnamajor $102 - $1,025 95%
Cignamajor $944 884%
Humanamajor $985 - $1,294 922%
Kaiser Permanentemajor $143 134%
AmeriHealth $985 922%
CareSource $845 791%
Dean Health Plan $945 885%
GEHA $111 - $983 104%
Medical Mutual $111 104%
Molina $135 126%
MVP Health Care $945 885%
Oscar Health $133 125%
Paramount $945 885%
Priority Health $346 - $670 324%
UniCare $985 922%
+ 144 smaller / regional plans $73 - $1,294
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals