CMS Price Transparency Data

CT scan, sinuses

Facility: Great Plains Health

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $143
Cash Discount Price: $652
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Great Plains Health is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $652. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.34x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$652

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $652 (610%)

Insurance Median: $143 (134%)

Cash: $652 (610% of Medicare)

Ins. Median: $143 (134% 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
Nebraska Total Care	$41 - $115	38%
Molina	$44 - $126	41%
Midwest Network Alliance	$77 - $1,761	72%
Blue Cross Blue Shield	$81 - $1,788	76%
Ambetter / Centene	$86 - $524	81%
Medica	$101 - $1,858	95%
UnitedHealthcare	$104 - $1,919	97%
Midlands Choice	$137 - $1,879	128%
Oscar Health	$140 - $1,879	131%
Coventry	$142 - $1,919	133%
Geha	$142 - $1,899	133%
Mutual Of Omaha	$143 - $1,919	134%

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 $652.
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 Great Plains Health 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.