CMS Price Transparency Data

CT scan, sinuses

Facility: Montefiore New Rochelle Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$137

about 1.3× the $107 Medicare rate · typically $111–$303

modeled estimate · not a bill or quote

What this hospital charges insurers

$126

About the fair price

about $11 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $137 This hospital $126 Cash price $1,371 Hospital's list price $2,109

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 $126

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $137 (about 1.3× the $107 Medicare rate). Montefiore New Rochelle Hospital charges insurers about $126, or about $1,371 in cash — about the fair price. Located in New Rochelle, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 - $245	113%
Aetnamajor	$453 - $507	424%
Cignamajor	$1,876	1756%
Humanamajor	$138	129%
Fidelis Care	$121 - $145	113%
Molina	$119 - $268	111%
MVP Health Care	$121 - $257	113%
Oscar Health	$199	186%
SelectHealth	$139	130%
WellCare	$122 - $128	114%
+ 12 smaller / regional plans	$91 - $4,641

Government programs also on file: Medicaid.

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 1,371), 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 Montefiore New Rochelle Hospital 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 Montefiore New Rochelle Hospital

Compare: CT scan, sinuses at other NY hospitals

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