CMS Price Transparency Data

CT scan, sinuses

Facility: Novant Health Matthews Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$259

about 2.4× the $107 Medicare rate · typically $144–$947

modeled estimate · not a bill or quote

What this hospital charges insurers

$933

Well above the fair price

about $674 over the fair price · 8.7× Medicare

Medicare pays $107 Fair price $259 This hospital $933 Cash price $1,025 Hospital's list price $2,049

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $100 Priciest $933

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $259 (about 2.4× the $107 Medicare rate). Novant Health Matthews Medical Center charges insurers about $933, or about $1,025 in cash — well above the fair price. Located in Matthews, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $259. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$102 - $1,294	95%
Blue Cross Blue Shieldmajor	$102 - $1,307	95%
Aetnamajor	$104 - $1,772	97%
Cignamajor	$105 - $1,141	98%
Humanamajor	$102 - $1,595	95%
AmeriHealth	$250 - $294	234%
CareSource	$621 - $731	581%
WellCare	$250 - $294	234%
+ 9 smaller / regional plans	$102 - $2,149

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,025), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm Novant Health Matthews Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Novant Health Matthews Medical Center

Compare: CT scan, sinuses at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.