CMS Price Transparency Data

CT scan, sinuses

Facility: Tristar Stonecrest Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $499
Cash Discount Price: $3,250
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Tristar Stonecrest Medical Center is $499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,250. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.67x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.

Cash / Self-Pay

$3,250

Average discount available for prompt cash payment at this facility.

Insurance Median

$499

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: $3,250 (3043%)

Insurance Median: $499 (467%)

Cash: $3,250 (3043% of Medicare)

Ins. Median: $499 (467% 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 467% of the Medicare baseline (a markup of 367%). 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
United	$155 - $1,463	145%
Humana	$159 - $813	149%
Blue Cross Blue Shield	$173 - $356	162%
Aetna	$459 - $1,625	430%
Kentucky Labor Cabinet	$598	560%
Apex Health	$618	579%
Nhc Advantage, Inc.	$618	579%
Pruitt Health (Allyalign)	$618	579%
Cigna	$1,060	992%
Bgfh Singlesource	$1,625 - $2,763	1521%
Employers Health Network	$2,275	2130%
Multiplan	$2,925	2739%
Beech Street	$2,990	2799%

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 $3,250.
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 Tristar Stonecrest 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.