CMS Price Transparency Data

CT scan, sinuses

Facility: New London Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $189
Cash Discount Price: $804
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at New London Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $804. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$804

Average discount available for prompt cash payment at this facility.

Insurance Median

$189

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: $804 (753%)

Insurance Median: $189 (177%)

Cash: $804 (753% of Medicare)

Ins. Median: $189 (177% 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
Blue Cross Blue Shield	$39 - $1,394	37%
Martin'S Point Generations Advantage	$39 - $774	37%
Martin'S Point Health Care	$39 - $1,209	37%
UnitedHealthcare	$39 - $1,376	37%
Wellcare Health Plans	$41 - $774	38%
Wellsense Health Plan	$41 - $774	38%
Aetna	$45 - $1,521	42%
Harvard Pilgrim Health Care Of Ne	$47 - $1,255	44%
Ambetter / Centene	$51 - $774	48%
Cigna	$54 - $1,192	51%
Amerihealth Caritas Nh	$61 - $897	57%
Granite State Health Plan	$61 - $888	57%
Tufts Health Plan	$1,217 - $1,267	1139%
Coventry	$1,663	1557%
Multiplan	$1,672	1565%

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 $804.
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 New London Hospital 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.