CMS Price Transparency Data

CT scan, sinuses

Facility: Mosaic Life Care at St Joseph

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $893
Cash Discount Price: $935
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Mosaic Life Care at St Joseph is $893. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $935. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.36x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$935

Average discount available for prompt cash payment at this facility.

Insurance Median

$893

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: $935 (875%)

Insurance Median: $893 (836%)

Cash: $935 (875% of Medicare)

Ins. Median: $893 (836% 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 836% of the Medicare baseline (a markup of 736%). 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
Aetna	$33 - $1,902	31%
Medicaid / KanCare	$33 - $106	31%
UnitedHealthcare	$33 - $3,243	31%
Amerigroup Of Iowa	$55 - $215	51%
Iowa Total Care	$55 - $215	51%
Molina Of Iowa	$55 - $215	51%
Blue Cross Blue Shield	$57 - $1,996	53%
Multiplan	$192 - $2,070	180%
Ambetter / Centene	$204 - $214	191%
Centurion	$440 - $1,610	412%
Geha Shared Services	$893 - $1,868	836%
Freedom Select Healthlink	$944 - $1,975	884%
Healthlink Open Access	$944 - $1,975	884%
Preferred Health Professional	$944 - $1,975	884%
Sisco	$944 - $1,975	884%
Cigna	$968 - $2,024	906%
Home State Of Missouri	$1,595 - $3,335	1493%
Healthy Blue Of Missouri	$1,958 - $4,094	1833%

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 $935.
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 Mosaic Life Care at St Joseph 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.