CMS Price Transparency Data

CT scan, sinuses

Facility: Bellevue Hospital Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $292
Cash Discount Price: $127
vs. Medicare Baseline: 2.73x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Bellevue Hospital Center is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.73x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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: $127 (119%)

Insurance Median: $292 (273%)

Cash: $127 (119% of Medicare)

Ins. Median: $292 (273% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 273% of the Medicare baseline (a markup of 173%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthfirst	$35 - $872	33%
Aetna	$43 - $1,131	40%
Amidacare	$43 - $388	40%
Emblem	$43 - $523	40%
Wellcare	$47 - $147	44%
Metroplus	$56 - $872	52%
Fidelis	$63 - $872	59%
Oscar	$65 - $1,228	61%
Blue Cross Blue Shield	$126 - $1,231	118%
Centerlight	$126 - $769	118%
Elderplan	$126 - $1,000	118%
Vaccn	$126	118%
Vnsny	$126 - $1,308	118%
Affinity	$128 - $872	120%
Centers Plan For Healthy Living	$131 - $151	123%
Oxford	$132 - $923	124%
United	$132 - $1,231	124%
Hamaspik	$152	142%
Villagecare Max	$191 - $1,308	179%
Local 1199	$313 - $1,308	293%
Carelon	$388 - $1,000	363%
Senior Whole Health	$388	363%
United Behavioral Health	$388 - $426	363%
Carelon (Amida Care)	$395	370%
Cigna	$1,056	989%
Magnacare	$1,154	1080%
Multiplan	$1,231	1153%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $127.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bellevue Hospital Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.