CMS Price Transparency Data

CT scan, sinuses

Facility: Matagorda Regional Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$319

about 3.0× the $107 Medicare rate · typically $149–$376

modeled estimate · not a bill or quote

What this hospital charges insurers

$317

About the fair price

about $2 under the fair price · 3.0× Medicare

Medicare pays $107 Fair price $319 This hospital $317 Cash price $765 Hospital's list price $1,530

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $317

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $319 (about 3.0× the $107 Medicare rate). Matagorda Regional Medical Center charges insurers about $317, or about $765 in cash — about the fair price. Located in Bay City, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$105 - $857	98%
Blue Cross Blue Shieldmajor	$424 - $857	397%
Aetnamajor	$105 - $959	98%
Cignamajor	$600	562%
Humanamajor	$105 - $683	98%
Molina	$857	802%
WellCare	$105	98%
+ 9 smaller / regional plans	$127 - $1,377

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 765), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm Matagorda Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Matagorda Regional Medical Center

Compare: CT scan, sinuses at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.