CMS Price Transparency Data

CT scan, sinuses

Facility: Southern Ohio Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$117

about 1.1× the $107 Medicare rate · typically $109–$340

modeled estimate · not a bill or quote

What this hospital charges insurers

$118

About the fair price

about $1 over the fair price · 1.1× Medicare

Medicare pays $107 Fair price $117 This hospital $118 Cash price $1,294 Hospital's list price $2,387

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $118

Black dot = this hospital, among the 9 OH 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 $117 (about 1.1× the $107 Medicare rate). Southern Ohio Medical Center charges insurers about $118, or about $1,294 in cash — about the fair price. Located in Portsmouth, OH.

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	$70 - $2,277	66%
Blue Cross Blue Shieldmajor	$98 - $2,018	92%
Aetnamajor	$99 - $1,992	93%
Cignamajor	$377 - $2,147	353%
Humanamajor	$98 - $2,199	92%
Ambetter (Centene)	$118	110%
CareSource	$100 - $141	94%
Medical Mutual	$72 - $2,121	67%
Molina	$118 - $908	110%
WellCare	$118 - $178	110%
+ 6 smaller / regional plans	$103 - $2,277

Excludes 3 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 (about 1,294), 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 Southern Ohio Medical 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 Southern Ohio Medical Center

Compare: CT scan, sinuses at other OH hospitals

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