CMS Price Transparency Data

CT scan, sinuses

Facility: University of Utah Hospital and Clinics

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $936
Cash Discount Price: $764
vs. Medicare Baseline: 8.76x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at University of Utah Hospital and Clinics is $936. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.76x the Medicare baseline. Located in 50 North Medical Drive, Salt Lake City, UT.

Cash / Self-Pay

$764

Average discount available for prompt cash payment at this facility.

Insurance Median

$936

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: $764 (715%)

Insurance Median: $936 (876%)

Cash: $764 (715% of Medicare)

Ins. Median: $936 (876% 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 876% of the Medicare baseline (a markup of 776%). 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	$280 - $413	262%
Bridgespan [597]	$280	262%
Healthcare Management Administrators [585]	$413	387%
Allegiance Benefit [112]	$936	876%
American Postal Workers [125]	$936	876%
Cigna	$936	876%
Great West [220]	$936	876%
Healthpartners [629]	$936	876%
Samba [398]	$936	876%
Aetna	$1,293	1211%
Mailhandlers [269]	$1,293	1211%
Meritain Health Plans [329]	$1,293	1211%

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 $764.
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 University of Utah Hospital and Clinics 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.