CMS Price Transparency Data

CT scan, sinuses

Facility: Grand Strand Regional Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,905
Cash Discount Price: $6,422
vs. Medicare Baseline: 17.84x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Grand Strand Regional Medical Center is $1,905. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.84x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$6,422

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,905

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: $6,422 (6013%)

Insurance Median: $1,905 (1784%)

Cash: $6,422 (6013% of Medicare)

Ins. Median: $1,905 (1784% 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 1784% of the Medicare baseline (a markup of 1684%). 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
Select Health	$156	146%
Group Health	$161	151%
Absolute Total Care	$186 - $1,156	174%
United	$245 - $2,890	229%
Blue Choice	$306	286%
Sc State Employees	$365	342%
Blue Choice Health Plan	$476	446%
Blue Cross Blue Shield	$476 - $6,101	446%
Cigna	$1,015 - $2,074	950%
Nhc Advantage	$1,220	1142%
Pruitt Health	$1,220	1142%
Aetna	$1,287 - $2,163	1205%
Medcost	$3,217 - $4,386	3012%
Vocational Rehab	$3,468	3247%
Employers Health Network	$3,532	3307%
Evernorth	$5,138	4810%
First Health	$5,298	4960%
Global Excel Management	$5,330	4990%
Humana	$5,459	5111%
Multiplan	$5,459	5111%
National Choicecare	$5,459	5111%
Prime Health	$5,459	5111%
Novanet	$5,780	5411%

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 $6,422.
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 Grand Strand Regional Medical 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.