CMS Price Transparency Data

CT scan, sinuses

Facility: Novant Health Brunswick Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $944
Cash Discount Price: $943
vs. Medicare Baseline: 8.84x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Novant Health Brunswick Medical Center is $944. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $943. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.84x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$943

Average discount available for prompt cash payment at this facility.

Insurance Median

$944

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: $943 (883%)

Insurance Median: $944 (884%)

Cash: $943 (883% of Medicare)

Ins. Median: $944 (884% 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 884% of the Medicare baseline (a markup of 784%). 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
Blue Cross Blue Shield	$112 - $1,268	105%
Humana	$112 - $1,753	105%
Pace Of The Southern Piedmont	$112	105%
UnitedHealthcare	$112 - $1,249	105%
New Hanover Health Advantage	$114	107%
Aetna	$115 - $1,732	108%
Cigna	$116 - $1,131	109%
Liberty Health	$118	110%
Nc Department Of Public Safety	$224 - $287	210%
Carolina Complete	$244 - $287	228%
Amerihealth	$249 - $293	233%
Wellcare	$249 - $293	233%
Ambetter / Centene	$252	236%
Caresource North Carolina	$693 - $815	649%
Atlantic Corporation Dba Atlantic Packaging	$936 - $1,101	876%
Amps	$953 - $1,121	892%
Plotkin Health	$1,040 - $1,223	974%
Medcost	$1,305 - $1,710	1222%
Transformhealth	$1,386 - $1,630	1298%
Multiplan	$1,560 - $1,834	1461%
Phcs	$1,560 - $1,834	1461%
Employers Choice Network	$1,681 - $1,977	1574%
Three Rivers Provider Network	$1,681 - $1,977	1574%

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 $943.
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 Novant Health Brunswick 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.