CMS Price Transparency Data

CT scan, sinuses

Facility: Lakewood Health System

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $392
Cash Discount Price: $436
vs. Medicare Baseline: 3.67x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Lakewood Health System is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $436. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.67x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$436

Average discount available for prompt cash payment at this facility.

Insurance Median

$392

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: $436 (408%)

Insurance Median: $392 (367%)

Cash: $436 (408% of Medicare)

Ins. Median: $392 (367% 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 367% of the Medicare baseline (a markup of 267%). 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 Msho/Special Needs	$26 - $537	24%
Blue Cross Blue Shield	$39 - $524	37%
Humana	$39 - $527	37%
Ucare Mcr Adv	$39 - $537	37%
UnitedHealthcare	$39 - $1,161	37%
Medica Msho/Mcr Adv	$40 - $522	37%
Health Partners - All Plans	$60 - $1,226	56%
Ucare Individual/Family - All Other Plans	$62 - $600	58%
Medica Choice Care	$69 - $735	65%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$69 - $1,167	65%
Preferred One Hmo	$77 - $1,239	72%
Preferred One Ppo - All Other Plans	$81 - $1,239	76%

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 $436.
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 Lakewood Health System 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.