CMS Price Transparency Data

CT scan, sinuses

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $107
  • Cash Discount Price: $959
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Tennova Healthcare - Newport Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $959. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$959

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $959 (898%)
Insurance Median: $107 (100%)
Cash: $959 (898% of Medicare)
Ins. Median: $107 (100% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $42 39%
UnitedHealthcare $42 - $4,080 39%
Amerigroup $83 - $105 78%
Tricare $90 84%
Node Champva $95 89%
Veterans Eval Services $95 89%
Humana $100 94%
Medicare (plans) $100 94%
Node Bluecare Plus Tn Mcr Adv $102 95%
Node Devoted Health Mcr Adv $102 95%
Node Farm Bureau Mcr Adv $102 95%
Node Hospice Non Par Agree $102 95%
Node Va $102 95%
Aetna $103 - $2,538 96%
Blue Cross Blue Shield $103 - $767 96%
Node Healthspring Mcr Adv $103 96%
Node Wellcare Mcr Adv $104 97%
Windsor Health Plan $105 98%
Node Nhc Mcr Adv $110 103%
Us Department Of Labor $127 119%
Cigna $137 128%
Bluecare $145 - $150 136%
Novanet Work Comp Tn $158 148%
Tn Work Comp $160 150%
Ambetter / Centene $188 176%
Point Comfort Underwriters $220 206%
Self Pay $959 898%
Multiplan $3,183 2980%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals