CMS Price Transparency Data

CT scan, sinuses

Facility: Johnson Memorial Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$275
about 2.6× the $107 Medicare rate · typically $101–$763
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $275 Cash price $417 Hospital's list price $491

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $127 - $528 119%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1282 Walnut Street, Dawson, MN 56232
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals