CMS Price Transparency Data

CT scan, sinuses

Facility: Strong Memorial Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$135

about 1.3× the $107 Medicare rate · typically $90–$204

modeled estimate · not a bill or quote

What this hospital charges insurers

$148

About the fair price

about $13 over the fair price · 1.4× Medicare

Medicare pays $107 Fair price $135 This hospital $148 Cash price $459 Hospital's list price $934

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 $148

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 $135 (about 1.3× the $107 Medicare rate). Strong Memorial Hospital charges insurers about $148, or about $459 in cash — about the fair price. Located in Rochester, 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 - $138	113%
Blue Cross Blue Shieldmajor	$114 - $358	107%
Aetnamajor	$139 - $536	130%
Cignamajor	$258 - $480	242%
Humanamajor	$142 - $161	133%
Fidelis Care	$267 - $273	250%
Molina	$121	113%
MVP Health Care	$145 - $442	136%
+ 1 smaller / regional plan	$126 - $130

Government programs also on file: Medicare, 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 459), 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 Strong Memorial 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 Strong Memorial Hospital

Compare: CT scan, sinuses at other NY hospitals

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