CMS Price Transparency Data

CT scan, sinuses

Facility: Haywood County Community Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $44
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Haywood County Community Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.41x the Medicare baseline. Located in 2545 North Washington Avenue, Brownsville, TN.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $97 (91%)
Insurance Median: $44 (41%)
Cash: $97 (91% of Medicare)
Ins. Median: $44 (41% 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
UnitedHealthcare $21 - $101 20%
Wellpointtennessee,Inc. $32 - $417 30%
Blue Cross Blue Shield $36 - $338 34%
Bluecareplustennessee(D-Snp) $36 34%
Americanhealthplans $37 35%
Pgba,Llc $37 35%
Vshpbluecareriskeast/West $44 - $198 41%
Ambetter / Centene $65 61%
Healthspringlife&Healthinsco,Inc.(Il) $97 91%
Humana $97 91%
Gallagherbassett-Oklahomacit $152 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2545 North Washington Avenue, Brownsville, TN 38012
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals