CMS Price Transparency Data

CT scan, sinuses

Facility: Hannibal Regional Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,037
Cash Discount Price: $1,567
vs. Medicare Baseline: 19.07x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Hannibal Regional Hospital is $2,037. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,567. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.07x the Medicare baseline. Located in 6000 Hospital Dr, Hannibal, MO.

Cash / Self-Pay

$1,567

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,037

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: $1,567 (1467%)

Insurance Median: $2,037 (1907%)

Cash: $1,567 (1467% of Medicare)

Ins. Median: $2,037 (1907% 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 1907% of the Medicare baseline (a markup of 1807%). 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	$100 - $2,350	94%
UnitedHealthcare	$102 - $2,089	95%
Health Alliance	$110 - $2,167	103%
Medicaid / KanCare	$134	125%
Healthy Blue	$146	137%
Samaritan Employee Health Plan	$210	197%
Hope Trust	$295	276%
6 Degrees Health	$1,932 - $2,089	1809%
Blue Cross Blue Shield	$1,932 - $2,350	1809%
Cigna	$2,034	1904%
Current Health Network	$2,089	1956%
Healthlink	$2,089	1956%

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 $1,567.
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 Hannibal Regional Hospital 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.