CMS Price Transparency Data

CT scan, sinuses

Facility: Thomas Jefferson University Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$140
about 1.3× the $107 Medicare rate · typically $115–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
Above the fair price
about $29 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $140 This hospital $169 Cash price $124 Hospital's list price $1,704

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 $169

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

A fair price for a CT scan, sinuses is about $140 (about 1.3× the $107 Medicare rate). Thomas Jefferson University Hospital charges insurers about $169, or about $124 in cash — above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $140. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $97 - $381 91%
Blue Cross Blue Shieldmajor $113 - $1,099 106%
Aetnamajor $102 - $682 95%
Cignamajor $101 - $327 95%
Humanamajor $99 93%
Ambetter (Centene) $140 131%
Devoted Health $102 95%
Geisinger $394 369%
UPMC Health Plan $327 306%
+ 14 smaller / regional plans $92 - $751
Government programs also on file: Medicare, Medicaid, Military & VA.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals