CMS Price Transparency Data

CT scan, sinuses

Facility: St Francis Hospital - the Heart Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$150

about 1.4× the $107 Medicare rate · typically $125–$300

modeled estimate · not a bill or quote

What this hospital charges insurers

$139

About the fair price

about $11 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $150 This hospital $139 Hospital's list price $2,767

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 $139

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 $150 (about 1.4× the $107 Medicare rate). St Francis Hospital - the Heart Center charges insurers about $139 — about the fair price. Located in Roslyn, 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	$121 - $1,937	113%
Blue Cross Blue Shieldmajor	$123 - $354	115%
Aetnamajor	$126 - $2,384	118%
Cignamajor	$1,643 - $1,937	1538%
Humanamajor	$128	120%
AmeriHealth	$283	265%
Cigna HealthSpring	$126	118%
Fidelis Care	$121 - $273	113%
Independent Health	$121 - $126	113%
MVP Health Care	$121 - $1,643	113%
Oscar Health	$1,134	1062%
UniCare	$1,937	1814%
WellCare	$138	129%
+ 41 smaller / regional plans	$121 - $2,767

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

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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, 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 St Francis Hospital - the Heart Center 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 St Francis Hospital - the Heart Center

Compare: CT scan, sinuses at other NY hospitals

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