CMS Price Transparency Data

CT scan, sinuses

Facility: Mangum Regional Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,152
Cash Discount Price: $1,063
vs. Medicare Baseline: 10.79x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Mangum Regional Medical Center is $1,152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,063. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.79x the Medicare baseline. Located in 1 Wickersham Drive, Mangum, OK.

Cash / Self-Pay

$1,063

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,152

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: $1,063 (995%)

Insurance Median: $1,152 (1079%)

Cash: $1,063 (995% of Medicare)

Ins. Median: $1,152 (1079% 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 1079% of the Medicare baseline (a markup of 979%). 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
UnitedHealthcare	$46 - $1,063	43%
Healthchoice Ip/Op Only- All Plans	$336	315%
Tricare	$851	797%
Aetna	$997 - $2,215	933%
Blue Cross Blue Shield	$1,063 - $1,883	995%
Ok Cmplte Wellcare	$1,063	995%
Humana	$1,074 - $2,215	1006%
Hs Technology - All Plans	$1,196	1120%
Ambetter / Centene	$1,542	1444%
Cigna	$1,550	1451%
Preferred Community Ppo Ip/Op Only- All Plans	$1,772	1659%
Ok Cmplte Soonerselect Mcaid	$2,215	2074%

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 $1,063.
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 Mangum Regional Medical Center 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.