CMS Price Transparency Data

CT scan, sinuses

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $640
Cash Discount Price: Unavailable
vs. Medicare Baseline: 5.99x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Intermountain Health St Vincent Regional Hospital is $640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.99x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$640

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%)

Insurance Median: $640 (599%)

Ins. Median: $640 (599% 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 599% of the Medicare baseline (a markup of 499%). 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
Medicare (plans)	$106	99%
UnitedHealthcare	$108 - $787	101%
Ebms-Employee Benefit Mng	$179 - $736	168%
Sibanye Stillwater Health Partners	$202	189%
Coastal Administrative Services	$213	199%
Exchange Other	$228 - $562	213%
Mt Health Co-Op	$228 - $562	213%
First Choice Health	$250 - $765	234%
Other	$250 - $765	234%
Allegiance	$266 - $770	249%
Pacific Steel And Recycling	$266	249%
Pacificsource	$266 - $776	249%
Meritain Health	$286 - $640	268%
Cigna	$288 - $770	270%
Aetna	$545	510%
Blue Cross Blue Shield	$643 - $899	602%
Preferred One	$736 - $796	689%
Interwest	$770	721%
Private Hlthcare Sys	$779	729%
Geha	$787	737%

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 $X.
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 Intermountain Health St Vincent 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.