CMS Price Transparency Data

CT scan, sinuses

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $118
  • Cash Discount Price: $1,433
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Munson Healthcare Cadillac Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,433. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$1,433

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $1,433 (1342%)
Insurance Median: $118 (110%)
Cash: $1,433 (1342% of Medicare)
Ins. Median: $118 (110% 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 - $224 24%
Mclaren Health Plan $26 - $1,061 24%
Meridian $26 - $54 24%
Molina $26 - $120 24%
Priority Health $26 - $311 24%
UnitedHealthcare $26 - $1,045 24%
American Health Associates $39 - $120 37%
Autumnwood Of Mcbain Skilled Nursing $39 - $120 37%
Blue Care Network $39 - $120 37%
Hap (Health Alliance Plan) $39 - $1,349 37%
Humana $39 - $120 37%
Medicare (plans) $39 - $120 37%
Michigan Amish Medical Board $39 - $120 37%
Promedica $39 - $120 37%
Samaritas Senior Living Skilled Nursing $39 - $120 37%
Wellcare (Meridian) $39 - $120 37%
Provider Network Of America Group Health $55 - $1,433 51%
Aetna $57 - $1,281 53%
Cofinity $57 - $1,315 53%
Asr/Physicians Care $59 - $1,349 55%
Cigna $61 - $311 57%
Employee Benefits Logistics $66 - $204 62%
Munson Hospice $852 - $1,180 798%
Hospice Of Michigan $1,012 947%
Enterprise Group Planning/Employee Benefit Plan $1,349 1263%
Medical Cost Savings Solution $1,349 1263%
Nomi Health $1,349 1263%
Robbing Group And Regency Employee Benefits $1,349 1263%
First Health/Coventry Network $1,433 1342%
Three Rivers Provider Network $1,433 1342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals