CMS Price Transparency Data

CT scan, sinuses

Facility: Southern Coos Hospital & Health Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,223
Cash Discount Price: $1,514
vs. Medicare Baseline: 11.45x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Southern Coos Hospital & Health Center is $1,223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,514. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.45x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$1,514

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,223

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: $1,514 (1417%)

Insurance Median: $1,223 (1145%)

Cash: $1,514 (1417% of Medicare)

Ins. Median: $1,223 (1145% 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 1145% of the Medicare baseline (a markup of 1045%). 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
Cigna	$72 - $1,251	67%
Moda Health Plan - All Other Plans	$72 - $1,409	67%
Blue Cross Blue Shield	$73 - $1,472	68%
Providence Preferred - All Plans	$81 - $1,504	76%
Tricare	$182 - $919	170%
Aetna	$207 - $1,425	194%
Atrio Mcr Adv - Allplans	$207 - $1,045	194%
Confederated Tribes - All Plans	$207 - $1,045	194%
Moda Mcr Adv	$207 - $1,045	194%
Pacific Source Mcr Adv	$207 - $1,045	194%
Advanced Health - All Plans	$954 - $997	893%
Healthnet - All Plans	$1,257 - $1,314	1177%
Prov Netwrk Of America - All Plans	$1,363 - $1,425	1276%
Three Rivers - All Plans	$1,363 - $1,425	1276%
UnitedHealthcare	$1,363 - $1,425	1276%
First Choice - All Plans	$1,393 - $1,456	1304%
Multiplan - All Plans	$1,408 - $1,472	1318%
First Health - All Plans	$1,439 - $1,504	1347%
Pacific Source - All Other Plans	$1,439 - $1,504	1347%

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 $1,514.
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 Southern Coos Hospital & Health 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.