CMS Price Transparency Data

CT scan, sinuses

Facility: Centerpoint Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,915
Cash Discount Price: $11,613
vs. Medicare Baseline: 27.29x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Centerpoint Medical Center is $2,915. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,613. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 27.29x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$11,613

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,915

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: $11,613 (10873%)

Insurance Median: $2,915 (2729%)

Cash: $11,613 (10873% of Medicare)

Ins. Median: $2,915 (2729% 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 2729% of the Medicare baseline (a markup of 2629%). 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
Global Sports Services	$25	23%
United	$60 - $5,539	56%
Healthyblue	$61	57%
Amerigroup	$62	58%
Medicaid / KanCare	$62	58%
Unicare	$62	58%
Home State Health Plan	$63	59%
Aetna	$97 - $6,278	91%
Cigna	$122 - $9,847	114%
Multiplan	$126 - $9,109	118%
Corvel Corporation	$149 - $8,001	140%
Oha Network	$156 - $6,155	146%
Blue Cross Blue Shield	$339 - $5,662	317%
Humana	$373 - $481	349%
Ambetter / Centene	$1,382 - $2,290	1294%
Nhc Advantage	$1,412 - $2,339	1322%
Wppa Providrs Care Network	$1,486 - $2,462	1391%
Universal Healthcare	$2,601 - $4,308	2435%
Coventry	$2,988 - $4,948	2797%
Coventry Kc Mo	$3,047 - $5,047	2853%
College Park Family Care Center	$3,196 - $5,293	2992%
Cco, Inc.	$6,317 - $10,463	5914%
Focus Healthcare Mgmt, Inc	$6,689 - $11,078	6263%

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 $11,613.
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 Centerpoint 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.