CMS Price Transparency Data

CT scan, sinuses

Facility: Baylor Scott & White Medical Center - Temple

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,392
Cash Discount Price: $1,519
vs. Medicare Baseline: 13.03x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Baylor Scott & White Medical Center - Temple is $1,392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,519. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.03x the Medicare baseline. Located in 2401 S 31St St, Temple, TX.

Cash / Self-Pay

$1,519

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,392

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: $1,519 (1422%)

Insurance Median: $1,392 (1303%)

Cash: $1,519 (1422% of Medicare)

Ins. Median: $1,392 (1303% 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 1303% of the Medicare baseline (a markup of 1203%). 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
Baylor Scott & White Health Plan	$97 - $1,586	91%
Humana	$102 - $1,772	95%
Superior Health Plan	$102 - $107	95%
Triwest	$102	95%
American Health Plan	$107	100%
Blue Cross Blue Shield	$107 - $536	100%
Corvel	$107	100%
Prime Health Services	$107	100%
Procare Advantage	$107	100%
UnitedHealthcare	$117 - $1,939	110%
Injury Management Organization	$127	119%
Careworks Fka Rockport	$152	142%
Sedgwick	$152	142%
Texas Workforce Commission	$886	830%
Imagine Health	$1,373	1285%
Aetna	$1,392	1303%
Employers Health Network	$1,392	1303%
Midcoast	$1,392	1303%
Quiktrip	$1,392	1303%
Cigna	$1,466 - $1,725	1373%
Independent Medical System	$1,519	1422%
Curative	$1,646	1541%
University Of Mary Hardin-Baylor	$1,725	1615%
First Health	$1,772	1659%
Healthsmart	$1,772 - $1,899	1659%
Bluebell Creameries	$1,899	1778%
Private Health Care System	$1,899	1778%
Three Rivers	$2,278	2133%

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 $1,519.
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 Baylor Scott & White Medical Center - Temple 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.