CMS Price Transparency Data

CT scan, sinuses

Facility: Akron General Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $164
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Akron General Medical Center is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 1 Akron General Avenue, Akron, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$164

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: $441 (413%)
Insurance Median: $164 (154%)
Cash: $441 (413% of Medicare)
Ins. Median: $164 (154% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Summacare $25 - $249 23%
Aetna $38 - $1,045 36%
Blue Cross Blue Shield $38 - $435 36%
Humana $38 - $118 36%
The Health Plan $38 - $469 36%
United $38 - $313 36%
UnitedHealthcare $38 - $627 36%
Valor $38 - $118 36%
Communicare $40 - $123 37%
Pphp $41 - $129 38%
Zing Health $42 - $129 39%
Aultcare $50 - $373 47%
Cigna $55 - $679 51%
Upmc $95 - $407 89%
Mmo $97 - $1,170 91%
Oscar $98 - $279 92%
Perennial Health $106 99%
Buckeye $118 - $152 110%
Caresource $124 - $152 116%
Amerihealth $130 - $167 122%
Molina $130 - $160 122%
Ohcp $142 - $407 133%
United Bh $161 151%
Omas $183 - $522 171%
Phphi $220 - $627 206%
Gms $256 - $732 240%
Cc Ehp $271 - $275 254%
Consociate Health $274 - $784 257%
Amish Community Aid Plan $306 - $340 286%
Multiplan $329 - $940 308%
Ohio Healthy $367 344%
Php $407 381%
Medical Benefit Corp $475 445%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Akron General Avenue, Akron, OH 44307
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals