CMS Price Transparency Data

CT scan, sinuses

Facility: Wellspan Chambersburg Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $489
Cash Discount Price: $295
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Wellspan Chambersburg Hospital is $489. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.58x the Medicare baseline. Located in 112 North Seventh Street, Chambersburg, PA.

Cash / Self-Pay

$295

Average discount available for prompt cash payment at this facility.

Insurance Median

$489

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: $295 (276%)

Insurance Median: $489 (458%)

Cash: $295 (276% of Medicare)

Ins. Median: $489 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Medicaid / KanCare	$97 - $185	91%
Medicare (plans)	$110 - $143	103%
Aetna	$113 - $1,322	106%
Highmark	$166 - $489	155%
Blue_Cross	$245 - $1,697	229%
Wellspan_Capital_Blue_Cross	$252	236%
Performance_Blue	$489	458%
United_Healthcare	$602	564%
Upmc	$966 - $1,368	904%
Cigna	$1,104 - $1,259	1034%
Geisinger	$1,191	1115%
First_Health_Network	$1,530	1432%

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 $295.
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 Wellspan Chambersburg Hospital 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.