CMS Price Transparency Data

CT scan, sinuses

Facility: Munson Healthcare Manistee Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $120
Cash Discount Price: $1,816
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Munson Healthcare Manistee Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,816. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.

Cash / Self-Pay

$1,816

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $1,816 (1700%)

Insurance Median: $120 (112%)

Cash: $1,816 (1700% of Medicare)

Ins. Median: $120 (112% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $1,072	24%
Mclaren Health Plan	$26 - $1,602	24%
Meridian	$26 - $54	24%
Molina	$26 - $120	24%
Priority Health	$26 - $311	24%
UnitedHealthcare	$26 - $1,922	24%
Aetna	$39 - $1,846	37%
Hap (Health Alliance Plan)	$39 - $1,709	37%
Humana	$39 - $120	37%
Medicare (plans)	$39 - $120	37%
Michigan Amish Medical Board	$39 - $120	37%
Northern Michigan Mennonite Group	$39 - $120	37%
Prime Health Services	$39 - $1,965	37%
Wellcare Meridian	$39 - $120	37%
Provider Network Of America	$55 - $1,816	51%
Cofinity	$57 - $1,880	53%
Asr/Physicians Care	$59 - $1,709	55%
Cigna	$61 - $311	57%
Nomi Health	$62 - $1,709	58%
Employee Benefits Logistics	$66 - $204	62%
Munson Hospice	$852 - $1,495	798%
Hospice Of Michigan	$1,282	1200%
Enterprise Group Planning/Employee Benefits Plan	$1,709	1600%
Medical Cost Savings Solution	$1,709	1600%
Three Rivers Provider Network	$1,816	1700%
Multiplan	$1,880	1760%
Great West Healthcare	$1,922	1799%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,816.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Munson Healthcare Manistee Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.