CMS Price Transparency Data

CT scan, sinuses

Facility: Sanford Jackson Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,713
Cash Discount Price: $2,174
vs. Medicare Baseline: 16.04x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Sanford Jackson Medical Center is $1,713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,174. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.04x the Medicare baseline. Located in 1430 North Highway, Jackson, MN.

Cash / Self-Pay

$2,174

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,713

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: $2,174 (2035%)

Insurance Median: $1,713 (1604%)

Cash: $2,174 (2035% of Medicare)

Ins. Median: $1,713 (1604% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1604% of the Medicare baseline (a markup of 1504%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ucare	$112 - $2,387	105%
Blue Cross Blue Shield	$353 - $941	330%
Sanford Health Plan Align	$853	799%
Wellmark Sd	$916	858%
Aetna	$924 - $2,361	865%
Health Partners	$924 - $2,174	865%
Medicare (plans)	$924	865%
UnitedHealthcare	$924 - $2,269	865%
Primewest	$941 - $1,016	881%
Sanford Health Plan	$1,456 - $1,713	1363%
Security Health Plan	$1,494	1399%
Medica	$2,388 - $2,570	2236%
Cigna	$2,445	2289%
First Choice Health Network	$2,445	2289%
Healthez	$2,445	2289%
Multiplan	$2,445	2289%

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 $2,174.
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 Sanford Jackson Medical Center 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.