CMS Price Transparency Data

CT scan, sinuses

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $134
  • Cash Discount Price: $3,566
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at PAM Rehabilitation Hospital of Corpus Christi is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,566. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.
Cash / Self-Pay
$3,566

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $3,566 (3339%)
Insurance Median: $134 (125%)
Cash: $3,566 (3339% of Medicare)
Ins. Median: $134 (125% 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.

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
Curative $77 72%
Aetna $84 - $103 79%
Ambetter / Centene $103 96%
Blue Cross Blue Shield $103 - $111 96%
Christus Health Plan $103 96%
Christus Spohn Health Network $103 - $2,139 96%
Cigna $103 96%
Ilumed Aco Reach $103 96%
Imperial Insurance Of Texas $103 96%
UnitedHealthcare $103 96%
Wellcare Complete $103 96%
Wellmed $103 96%
Wellpoint (Amerigroup) $103 - $160 96%
Driscoll Health Plan $107 100%
Superior Health $107 100%
Texas Independence Health Plan $108 101%
Velocity Provider Ppo Network $124 - $2,674 116%
Prime Health Services $134 - $3,031 125%
Ninety Degree Benefits $155 145%
Sana Benefits $155 145%
Healthcare Highways $1,961 1836%
America'S Choice Provider Network $2,496 2337%
Provider Network Of America $2,674 2504%
Quik Trip $2,674 2504%
Usa Managed Care Organization $2,674 2504%
Multiplan/Phcs $2,853 2671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 345 S Water St, Corpus Christi, TX 78401
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL