CMS Price Transparency Data

CT scan, sinuses

Facility: Holy Cross Hospital-Davis

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,369
Cash Discount Price: $1,065
vs. Medicare Baseline: 12.82x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Holy Cross Hospital-Davis is $1,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,065. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.82x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.

Cash / Self-Pay

$1,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,369

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: $1,065 (997%)

Insurance Median: $1,369 (1282%)

Cash: $1,065 (997% of Medicare)

Ins. Median: $1,369 (1282% 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 1282% of the Medicare baseline (a markup of 1182%). 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
Select Health	$49 - $1,308	46%
Medicaid / KanCare	$69	65%
Uuhp	$69 - $494	65%
Humana	$80	75%
Medicare (plans)	$80	75%
Employer Direct Healthcare	$100	94%
Blue Cross Blue Shield	$105 - $1,597	98%
Motivhealth	$106	99%
Molina	$187 - $1,143	175%
Cigna	$243 - $2,129	228%
Centura Employee Plan	$337	316%
Pehp	$1,136 - $1,554	1064%
Aetna	$1,176 - $2,249	1101%
Wise	$1,384 - $1,411	1296%
Deseret Mutual Benefit Administrators	$1,634	1530%
Multiplan	$1,836 - $2,422	1719%
UnitedHealthcare	$1,930 - $2,662	1807%
Emi Health	$2,316	2168%

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 $1,065.
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 Holy Cross Hospital-Davis 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.