CMS Price Transparency Data

CT scan, sinuses

Facility: Ochsner Rush Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $150
Cash Discount Price: $347
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Ochsner Rush Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$347

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $347 (325%)

Insurance Median: $150 (140%)

Cash: $347 (325% of Medicare)

Ins. Median: $150 (140% 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.

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
Cor Vel	$74 - $241	69%
Prime Health Services Ppo -Workers Comp	$74 - $236	69%
Medicaid / KanCare	$81 - $111	76%
Humana	$89 - $111	83%
Cigna	$97 - $796	91%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$97 - $111	91%
Medicare (plans)	$97 - $128	91%
UnitedHealthcare	$97 - $234	91%
Shared Health Mississippi	$102 - $117	95%
Prime Health Services Ppo	$128 - $1,147	120%
Ambetter / Centene	$136 - $156	127%
Select Administrative Services Network	$141 - $1,004	132%
Zelis	$160 - $708	150%
Primewell Health Services Commercial Exchange Plan	$214 - $272	200%
Primewell Health Services – Commercial	$214 - $272	200%
Blue Cross Blue Shield	$236 - $309	221%
Aetna	$260 - $932	243%
Claritev D/B/A Multiplan/Phcs/American Life Care	$398 - $1,076	373%

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 $347.
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 Ochsner Rush 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.