CMS Price Transparency Data

CT scan, sinuses

Facility: Buchanan General Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$165

about 1.5× the $107 Medicare rate · typically $110–$366

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $58 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $165 This hospital $107 Cash price $178 Hospital's list price $508

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

One of the lower prices — 5 of 8 other VA hospitals charge more for the same procedure.

Cheapest $104 Priciest $110

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $165 (about 1.5× the $107 Medicare rate). Buchanan General Hospital charges insurers about $107, or about $178 in cash — below the fair price — a good deal. Located in Grundy, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$86 - $107	81%
Blue Cross Blue Shieldmajor	$291	272%
Aetnamajor	$108	101%
Humanamajor	$86 - $107	81%

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 178), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70486.

Insurance Before you use insurance

Call your insurance company to confirm Buchanan General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 70486.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Buchanan General Hospital

Compare: CT scan, sinuses at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.