CMS Price Transparency Data

CT scan, sinuses

Facility: Mercy Hospital Ada

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$107

about 1.0× the $107 Medicare rate · typically $106–$119

modeled estimate · not a bill or quote

What this hospital charges insurers

$106

About the fair price

about $1 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $107 This hospital $106 Cash price $1,280 Hospital's list price $1,970

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $73 Priciest $106

Black dot = this hospital, among the 9 OK 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 $107 (about 1.0× the $107 Medicare rate). Mercy Hospital Ada charges insurers about $106, or about $1,280 in cash — about the fair price. Located in Ada, OK.

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	$106 - $1,207	99%
Blue Cross Blue Shieldmajor	$106	99%
Aetnamajor	$76 - $1,513	71%
Cignamajor	$110	103%
Humanamajor	$76 - $108	71%
Ambetter (Centene)	$146	137%
Healthcare Highways	$752 - $1,509	704%
HealthLink	$1,156 - $1,207	1082%
Independent Health	$106	99%
Medica	$439 - $2,012	411%
+ 34 smaller / regional plans	$106 - $1,710

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 1,280), 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 Mercy Hospital Ada 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 Mercy Hospital Ada

Compare: CT scan, sinuses at other OK hospitals

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