CMS Price Transparency Data

CT scan, sinuses

Facility: Eaton Rapids Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$142

about 1.3× the $107 Medicare rate · typically $119–$160

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

About the fair price

about $4 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $142 This hospital $138 Cash price $449 Hospital's list price $898

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 $138

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 $142 (about 1.3× the $107 Medicare rate). Eaton Rapids Medical Center charges insurers about $138, or about $449 in cash — about the fair price. Located in Eaton Rapids, MI.

What each insurance company pays

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

5 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	$608 - $1,009	569%
Blue Cross Blue Shieldmajor	$138 - $833	129%
Aetnamajor	$575 - $953	538%
Cignamajor	$608 - $1,009	569%
Humanamajor	$138 - $139	129%
Health Net	$550 - $911	515%
Priority Health	$412 - $1,009	386%
+ 5 smaller / regional plans	$138 - $1,009

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 449), 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 Eaton Rapids Medical Center 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 Eaton Rapids Medical Center

Compare: CT scan, sinuses at other MI hospitals

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