CMS Price Transparency Data

CT scan, sinuses

Facility: Mid-Columbia Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $127
  • Cash Discount Price: $477
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Mid-Columbia Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $477. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$477

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $477 (447%)
Insurance Median: $127 (119%)
Cash: $477 (447% of Medicare)
Ins. Median: $127 (119% 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
Blue Cross Blue Shield $39 - $5,924 37%
Community Hp Mcr Adv - All Plans $39 - $124 37%
Molina Mcr Adv $39 - $124 37%
Tricare $39 - $124 37%
Va Ccn Triwest - All Plans $39 - $124 37%
Healthnet Mcr Adv $40 - $127 37%
Humana $40 - $131 37%
Moda Mcr Adv $40 - $124 37%
Devoted Mcr Adv - All Plans $42 - $2,007 39%
Employee Health Plan - All Plans $43 - $224 40%
Molina - All Other Plans $43 - $137 40%
Aetna $47 - $1,715 44%
Healthnet - All Other Plans $59 55%
Cigna $66 - $1,750 62%
Molina Mcaid $67 - $966 63%
Multiplan/Phcs - All Plans $67 - $1,765 63%
Coventry - All Plans $76 - $1,672 71%
First Choice - All Plans $77 - $1,765 72%
Providence Ppo - All Plans $81 - $1,765 76%
Moda Health Plan - All Other Plans $84 - $1,226 79%
Amerigroup Mcaid - All Plans $128 - $966 120%
Coordinated Care Mcaid - All Plans $128 - $966 120%
Norocor - All Plans $929 870%
UnitedHealthcare $966 - $1,765 904%
Healthscape - All Plans $1,486 1391%
First Health - All Plans $1,654 1549%
Pacific Source - All Plans $1,709 1600%
Trpn - Three Rivers - All Plans $1,765 1652%
Ahp - Americas Hlth Plan - All Plans $1,802 1687%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals