CMS Price Transparency Data

CT scan, sinuses

Facility: Pottstown Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$125
about 1.2× the $107 Medicare rate · typically $105–$213
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $5 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $125 This hospital $120 Cash price $865 Hospital's list price $3,461

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $88 Priciest $120

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $125 (about 1.2× the $107 Medicare rate). Pottstown Hospital charges insurers about $120, or about $865 in cash — about the fair price. Located in Pottstown, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $738 - $1,120 691%
Aetnamajor $132 - $2,942 124%
Geisinger $93 87%
HealthPartners $97 91%
UPMC Health Plan $108 - $2,596 101%
+ 4 smaller / regional plans $97 - $3,392
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1600 East High Street, Pottstown, PA 19464
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals