CMS Price Transparency Data

CT scan, sinuses

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,550
Cash Discount Price: $1,980
vs. Medicare Baseline: 14.51x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Baylor Scott & White Medical Center -Taylor is $1,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,980. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.51x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$1,980

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,550

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: $1,980 (1854%)

Insurance Median: $1,550 (1451%)

Cash: $1,980 (1854% of Medicare)

Ins. Median: $1,550 (1451% 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 1451% of the Medicare baseline (a markup of 1351%). 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
Blue Cross Blue Shield	$439 - $727	411%
Baylor Scott & White Health Plan	$658 - $1,586	616%
Triwest	$693	649%
Corvel	$726	680%
Prime Health Services	$726	680%
American Health Plan	$727	681%
Healthspring	$727	681%
Procare Advantage	$727	681%
Superior Health Plan	$727	681%
Careworks Fka Rockport	$861	806%
Injury Management Organization	$861	806%
Sedgwick	$861	806%
Cigna	$1,466 - $1,725	1373%
UnitedHealthcare	$1,550	1451%
University Of Mary Hardin-Baylor	$1,725	1615%
Aetna	$1,815	1699%
Midcoast	$1,815	1699%
Quiktrip	$1,815	1699%
Independent Medical System	$1,980	1854%
Curative	$2,145	2008%
Humana	$2,145 - $2,309	2008%
First Health	$2,309	2162%
Healthsmart	$2,309 - $2,474	2162%
Private Health Care System	$2,474	2316%
Bluebell Creameries	$2,639	2471%
Three Rivers	$2,639	2471%

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 $1,980.
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 -Taylor 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.