CMS Price Transparency Data

CT scan, sinuses

Facility: Multicare Auburn Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $392
Cash Discount Price: $855
vs. Medicare Baseline: 3.67x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Multicare Auburn Medical Center is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $855. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.67x the Medicare baseline. Located in 202 North Division Street Plaza One, Auburn, WA.

Cash / Self-Pay

$855

Average discount available for prompt cash payment at this facility.

Insurance Median

$392

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: $855 (800%)

Insurance Median: $392 (367%)

Cash: $855 (800% of Medicare)

Ins. Median: $392 (367% 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 367% of the Medicare baseline (a markup of 267%). 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
Molina	$81 - $215	76%
Community Health Plan Of Washington	$87 - $196	81%
Coordinated Care	$87	81%
UnitedHealthcare	$87 - $563	81%
Wellpoint	$87	81%
Aetna	$119 - $496	111%
Regence	$119	111%
Wellcare	$122	114%
Premera	$200 - $505	187%
Ambetter / Centene	$232	217%
First Choice	$392 - $713	367%
Kaiser	$568	532%
Pacificsource	$665 - $959	623%
First Health	$1,386 - $1,733	1298%
Multiplan/Phcs	$1,386 - $1,733	1298%
Cigna	$1,633	1529%

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 $855.
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 Multicare Auburn 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.