CMS Price Transparency Data

CT scan, sinuses

Facility: Medical City Arlington

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $436
  • Cash Discount Price: $5,948
  • vs. Medicare Baseline: 4.08x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Medical City Arlington is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,948. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.08x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$5,948

Average discount available for prompt cash payment at this facility.

Insurance Median
$436

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: $5,948 (5569%)
Insurance Median: $436 (408%)
Cash: $5,948 (5569% of Medicare)
Ins. Median: $436 (408% 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 408% of the Medicare baseline (a markup of 308%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texas Health Network $103 96%
Amerigroup $105 98%
Cook Childrens Health Plan $105 98%
Parkland Community Health Plan $105 98%
United $105 - $1,118 98%
Cigna $110 - $833 103%
Aetna $113 - $4,324 106%
Molina $115 - $117 108%
Humana $131 - $387 123%
Blue Cross Blue Shield $133 - $2,641 125%
Imaging Providers Of Texas $350 328%
Superior Health Plan $416 389%
Unicare $1,130 - $5,948 1058%
Healthcare Highways $2,010 1882%
City Of Mckinney $2,677 2506%
Fidelis Securecare $2,677 2506%
Global Sports Services $2,974 2784%
National Choicecare $2,974 2784%
Pc Texas Partners $3,271 3062%
Physicians Coop Of Tx $3,271 3062%
Rockport Health Group $3,271 3062%
Averde Health, Inc $3,450 3230%
Coastal Comp Health Networks $4,164 3899%
Mega Life $4,164 3899%
Healthsmart Preferred Care $4,223 3954%
Lewisville Isd/Dls Consulting $4,461 4177%
Usa Managed Care $4,759 4456%
Usc Health Services $4,759 4456%
Galaxy Health Network $5,056 4734%
Texas Instruments $5,353 5012%
Independent Medical Systems $5,948 5569%
National Healthcare Solutions $5,948 5569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals