CMS Price Transparency Data

CT scan, sinuses

Facility: Cox Medical Centers

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$106
about 1.0× the $107 Medicare rate · typically $100–$509
modeled estimate · not a bill or quote
What this hospital charges insurers
$686
Well above the fair price
about $580 over the fair price · 6.4× Medicare
Medicare pays $107 Fair price $106 This hospital $686 Cash price $600 Hospital's list price $2,381

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $66 Priciest $686

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $106 (about 1.0× the $107 Medicare rate). Cox Medical Centers charges insurers about $686, or about $600 in cash — well above the fair price. Located in Springfield, MO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $106. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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
UnitedHealthcaremajor $52 - $1,715 49%
Blue Cross Blue Shieldmajor $53 - $1,006 50%
Humanamajor $52 - $104 49%
Devoted Health $56 - $111 52%
Health Net $52 - $104 49%
+ 19 smaller / regional plans $52 - $2,381

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3801 South National Avenue, Springfield, MO 65807
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals