CMS Price Transparency Data

CT scan, sinuses

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,045
Cash Discount Price: Unavailable
vs. Medicare Baseline: 19.15x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at University of Texas M. D. Anderson Cancer Center is $2,045. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.15x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,045

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%)

Insurance Median: $2,045 (1915%)

Ins. Median: $2,045 (1915% 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 1915% of the Medicare baseline (a markup of 1815%). 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
Texaschildrens	$30 - $1,285	28%
Tricare	$34 - $2,191	32%
Vacare	$34 - $1,285	32%
Medicare (plans)	$48 - $1,285	45%
Blue Cross Blue Shield	$62 - $2,103	58%
UnitedHealthcare	$62 - $2,191	58%
Aetna	$90 - $2,191	84%
Cigna	$115 - $2,191	108%
Humana	$244 - $2,249	228%
Ontarioministriesofhealth	$300 - $2,162	281%
Beijingst.Lucia	$304 - $2,191	285%
Embassyofqatar	$304 - $2,191	285%
Memorialhermannhealth	$304 - $2,191	285%
Emergingtherapysolutions_Cancercare	$325 - $2,337	304%
Interlink_Cancercare	$325 - $2,337	304%
Saudiarmedforces	$325 - $2,337	304%
Uae_Medical	$325 - $2,337	304%
Uaepoliceattache	$325 - $2,337	304%
Multiplan	$334 - $2,512	313%
Phcs	$334 - $2,512	313%
Healthsmart	$345 - $2,483	323%
Vantage	$345 - $2,483	323%
Emergingtherapysolutions	$2,191 - $2,337	2051%
Interlink	$2,191 - $2,483	2051%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.