CMS Price Transparency Data

CT scan, sinuses

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$186

about 1.7× the $107 Medicare rate · typically $129–$222

modeled estimate · not a bill or quote

What this hospital charges insurers

$164

Below the fair price — a good deal

about $22 under the fair price · 1.5× Medicare

Medicare pays $107 Fair price $186 This hospital $164 Cash price $121 Hospital's list price $563

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $118 Priciest $164

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

A fair price for a CT scan, sinuses is about $186 (about 1.7× the $107 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $164, or about $121 in cash — below the fair price — a good deal. Located in Denville, NJ.

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	$109 - $163	102%
Blue Cross Blue Shieldmajor	$121	113%
Aetnamajor	$121 - $257	113%
Cignamajor	$187	175%
Humanamajor	$97	91%
AmeriHealth	$121 - $376	113%
Clover Health	$121	113%
MagnaCare	$563	527%
WellCare	$121 - $164	113%
+ 4 smaller / regional plans	$121 - $252

Government programs also on file: Medicare, Military & VA.

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 121), 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 Saint Clare's Hospital/ Denville Campus 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 Saint Clare's Hospital/ Denville Campus

Compare: CT scan, sinuses at other NJ hospitals

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