CMS Price Transparency Data

CT scan, sinuses

Facility: Sunrise Hospital and Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $120
  • Cash Discount Price: $424
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Sunrise Hospital and Medical Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$424

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $424 (397%)
Insurance Median: $120 (112%)
Cash: $424 (397% of Medicare)
Ins. Median: $120 (112% 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.

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
United $28 - $2,011 26%
Humana $29 - $274 27%
Blue Cross Blue Shield $38 - $229 36%
Healthcare Partners Of Nv $38 - $170 36%
Aetna $39 - $929 37%
Alignment Health Plan $39 - $126 37%
Caremore $41 - $132 38%
Multiplan $42 - $7,024 39%
Amerigroup $44 - $218 41%
Health Plan Nevada $44 - $229 41%
Hometown Health Providers $45 - $229 42%
Molina $47 - $241 44%
Silver Summit $47 - $241 44%
Cigna $49 - $556 46%
Sierra $50 - $245 47%
Culinary Health Fund $58 - $381 54%
Community Care Health $59 - $218 55%
Molina Healthcare $59 - $227 55%
Sierra Hpn $59 - $218 55%
Ambetter / Centene $62 - $2,021 58%
Select Health $78 - $2,218 73%
Legacy Provider Network $734 687%
Corvel $774 - $819 725%
Comp-Med Workers Comp $791 741%
Olympus Medsave Usa $815 - $7,216 763%
Prominence Healthfirst $2,887 2703%
Cmn Global $4,041 3783%
Nv Health & Welfare Trust $5,773 5405%
First Health $6,351 - $7,698 5946%
Medcare International $7,216 6756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals