CMS Price Transparency Data

CT scan, sinuses

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $125
  • Cash Discount Price: $543
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at M Health Fairview University of Mn Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $543. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.
Cash / Self-Pay
$543

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $543 (508%)
Insurance Median: $125 (117%)
Cash: $543 (508% of Medicare)
Ins. Median: $125 (117% 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
Health Partners $28 - $322 26%
Itasca Medical Care $28 - $125 26%
Primewest $28 - $125 26%
South Country Health Alliance $28 - $125 26%
Ucare $28 - $349 26%
Medica $30 - $841 28%
Hennepin Health $31 - $108 29%
Blue Cross Blue Shield $32 - $488 30%
Sanford Health Plan $38 - $825 36%
Security Health Plan $38 - $1,050 36%
UnitedHealthcare $38 - $798 36%
Wellcare $38 - $125 36%
Cigna $41 - $784 38%
Emerging Therapies $47 - $896 44%
Humana $47 - $910 44%
Aetna $50 - $952 47%
America'S Ppo $55 - $1,008 51%
Interlink $55 - $1,050 51%
First Health $60 - $1,148 56%
Multiplan $62 - $1,190 58%
Private Healthcare Systems $62 - $1,190 58%
Wisconsin Physician Services $66 - $1,260 62%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2450 Riverside Avenue, Minneapolis, MN 55454
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals