CMS Price Transparency Data

CT scan, sinuses

Facility: Cjw Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,360
Cash Discount Price: $7,156
vs. Medicare Baseline: 12.73x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Cjw Medical Center is $1,360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,156. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.73x the Medicare baseline. Located in 7101 Jahnke Road, Richmond, VA.

Cash / Self-Pay

$7,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,360

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: $7,156 (6700%)

Insurance Median: $1,360 (1273%)

Cash: $7,156 (6700% of Medicare)

Ins. Median: $1,360 (1273% 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 1273% of the Medicare baseline (a markup of 1173%). 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	$122 - $560	114%
United	$245 - $3,220	229%
Cigna	$1,023 - $1,503	958%
Lifeworks	$1,360	1273%
Aetna	$1,408 - $1,705	1318%
Universal Healthcare Group	$1,574	1474%
Virginia Health Network	$2,505 - $4,651	2345%
Greenvbrier Sporting Club	$4,294	4020%
Value Options	$4,294	4020%
Corvel	$5,152	4824%
Evernorth	$5,725	5360%
Occunet Workers Comp	$5,725	5360%
4Most Health Nework	$6,440	6029%
Multiplan	$6,440	6029%

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 $7,156.
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 Cjw Medical Center 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.