CMS Price Transparency Data

CT scan, sinuses

Facility: Hendrick Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,337
Cash Discount Price: $5,829
vs. Medicare Baseline: 21.88x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Hendrick Medical Center is $2,337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,829. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.88x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$5,829

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,337

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: $5,829 (5457%)

Insurance Median: $2,337 (2188%)

Cash: $5,829 (5457% of Medicare)

Ins. Median: $2,337 (2188% 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 2188% of the Medicare baseline (a markup of 2088%). 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
Firstcare Star	$110	103%
Superior Health Plan	$126	118%
Wellpoint (Formerly Known As Amerigroup)	$126	118%
Blue Cross Blue Shield	$319 - $2,565	299%
Baylor Scott And White Health Plan	$1,714	1605%
UnitedHealthcare	$2,273 - $3,206	2128%
Cigna	$3,206	3002%
Aetna	$3,672	3438%
Private Healthcare Systems	$3,789 - $4,663	3547%
Healthsmart	$4,372	4093%
Omni Networks	$4,372 - $4,954	4093%
Multiplan	$5,188	4857%

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 $5,829.
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 Hendrick 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.