CMS Price Transparency Data

CT scan, sinuses

Facility: Columbus Regional Healthcare System

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $917
  • Cash Discount Price: $1,080
  • vs. Medicare Baseline: 8.59x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Columbus Regional Healthcare System is $917. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,080. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.59x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$1,080

Average discount available for prompt cash payment at this facility.

Insurance Median
$917

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: $1,080 (1011%)
Insurance Median: $917 (859%)
Cash: $1,080 (1011% of Medicare)
Ins. Median: $917 (859% 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 859% of the Medicare baseline (a markup of 759%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $100 - $991 94%
Troy $100 94%
UnitedHealthcare $100 - $1,050 94%
Va Communicare Care $100 94%
Wellcare $100 - $345 94%
Vaya Health $101 95%
Liberty $102 95%
Aetna $103 - $1,497 96%
Humana $103 96%
Devoted Health $104 97%
Cigna $105 - $1,466 98%
Molina $284 - $396 266%
Alliance $345 323%
Amerihealth $345 323%
Apex Health $345 323%
Cardinal $345 323%
Carolina Complete Health $345 323%
Healthy Blue $345 323%
Partners $345 323%
Sandhills $345 323%
Trillium $345 323%
Queens University $849 795%
Ambetter / Centene $898 - $1,045 841%
Oscar $1,003 - $1,127 939%
Employers Health Network $1,023 - $1,144 958%
Quicktrip $1,235 1156%
Multiplan $1,389 - $1,466 1300%
Choicecare $1,466 1373%
Healthgram $1,466 1373%
Medcost $1,466 1373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals