CMS Price Transparency Data

CT scan, sinuses

Facility: Parkland Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $3,058
Cash Discount Price: $6,734
vs. Medicare Baseline: 28.63x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Parkland Medical Center is $3,058. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,734. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 28.63x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$6,734

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,058

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: $6,734 (6305%)

Insurance Median: $3,058 (2863%)

Cash: $6,734 (6305% of Medicare)

Ins. Median: $3,058 (2863% 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 2863% of the Medicare baseline (a markup of 2763%). 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
Amerihealth Caritas	$166 - $208	155%
Blue Cross Blue Shield	$208 - $800	195%
Harvard Pilgrim	$361 - $3,033	338%
Well Sense Health Plan	$404 - $505	378%
United	$1,131 - $4,091	1059%
Maine Community Health	$1,685 - $3,571	1578%
Tufts Health Plan	$3,082 - $3,971	2885%
Aetna	$3,206 - $4,502	3002%
Corvel	$3,879 - $4,852	3632%
Evernorth	$4,310 - $5,391	4035%
Healthcare Value Mgmt	$4,526 - $5,661	4237%
First Health	$4,580 - $5,728	4288%
Oxford Health Plans	$5,119 - $6,402	4793%

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 $6,734.
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 Parkland 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.