CMS Price Transparency Data

CT scan, sinuses

Facility: St James Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$112
about 1.0× the $107 Medicare rate · typically $84–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
About the fair price
about $9 over the fair price · 1.1× Medicare
Medicare pays $107 Fair price $112 This hospital $121 Cash price $202 Hospital's list price $253

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $42 Priciest $121

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

A fair price for a CT scan, sinuses is about $112 (about 1.0× the $107 Medicare rate). St James Hospital charges insurers about $121, or about $202 in cash — about the fair price. Located in Hornell, NY.

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 $73 - $198 68%
Blue Cross Blue Shieldmajor $73 - $312 68%
Aetnamajor $132 - $140 124%
Cignamajor $314 294%
Humanamajor $140 131%
Fidelis Care $73 - $121 68%
Molina $121 - $273 113%
MVP Health Care $296 - $303 277%
+ 1 smaller / regional plan $295
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals