CMS Price Transparency Data

CT scan, sinuses

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $566
Cash Discount Price: $430
vs. Medicare Baseline: 5.30x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Oklahoma Heart Hospital South, LLC is $566. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $430. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.30x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$430

Average discount available for prompt cash payment at this facility.

Insurance Median

$566

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: $430 (403%)

Insurance Median: $566 (530%)

Cash: $430 (403% of Medicare)

Ins. Median: $566 (530% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 530% of the Medicare baseline (a markup of 430%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$73 - $128	68%
Humana	$73 - $849	68%
Blue Cross Blue Shield	$101 - $650	95%
Cigna	$101 - $270	95%
Medicare (plans)	$101 - $104	95%
UnitedHealthcare	$101 - $107	95%
Va Ccn	$101	95%
Geha	$107	100%
Coventry	$136	127%
Ambetter / Centene	$141	132%
Community Care	$201 - $861	188%
The Kempton Group	$251	235%
Healthcare Highways	$307 - $738	287%
Healthscope	$566	530%
Oscar Insurance Company	$566	530%
Webtpa Chickasaw Nation Hch	$578	541%
Webtpa Hobby Lobby Hch	$652	610%
Global Health	$775	726%
Sana Benefits	$799	748%
Ufcw	$799	748%
First Health Network	$849	795%
Manhattan Life	$849	795%
Phcs	$861	806%
Preferred Community Choice	$935	875%
Multiplan	$1,107	1036%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $430.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oklahoma Heart Hospital South, LLC is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.