CMS Price Transparency Data

CT scan, sinuses

Facility: Duncan Regional Hospital, Inc

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$517

about 4.8× the $107 Medicare rate · typically $167–$973

modeled estimate · not a bill or quote

What this hospital charges insurers

$971

Well above the fair price

about $454 over the fair price · 9.1× Medicare

Medicare pays $107 Fair price $517 This hospital $971 Cash price $217 Hospital's list price $3,145

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 $971

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $517 (about 4.8× the $107 Medicare rate). Duncan Regional Hospital, Inc charges insurers about $971, or about $217 in cash — well above the fair price. Located in Duncan, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $517. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$2,139	2003%
Blue Cross Blue Shieldmajor	$923 - $1,449	864%
Aetnamajor	$2,673	2503%
Cignamajor	$2,830	2650%
Humanamajor	$108	101%
Friday Health	$276	258%
Health Net	$2,516	2356%
Healthcare Highways	$1,384 - $2,044	1296%
Medica	$1,321	1237%
+ 2 smaller / regional plans	$2,830 - $2,893

Excludes 2 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 217), 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 Duncan Regional Hospital, Inc 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 Duncan Regional Hospital, Inc

Compare: CT scan, sinuses at other OK hospitals

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