CMS Price Transparency Data

CT scan, sinuses

Facility: Metropolitan Hospital Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$192
about 1.8× the $107 Medicare rate · typically $134–$349
modeled estimate · not a bill or quote
What this hospital charges insurers
$342
Well above the fair price
about $150 over the fair price · 3.2× Medicare
Medicare pays $107 Fair price $192 This hospital $342 Hospital's list price $1,062

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 $342

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 $192 (about 1.8× the $107 Medicare rate). Metropolitan Hospital Center charges insurers about $342 — well above the fair price. Located in New York, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $192. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $292 - $468 273%
Blue Cross Blue Shieldmajor $126 - $826 118%
Aetnamajor $43 - $1,131 40%
Cignamajor $1,056 989%
Fidelis Care $64 - $826 60%
MagnaCare $439 - $1,154 411%
Oscar Health $66 - $1,228 62%
WellCare $48 - $161 45%
+ 14 smaller / regional plans $35 - $1,308
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals