CMS Price Transparency Data

CT scan, sinuses

Facility: Lake Chelan Community Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $959
Cash Discount Price: $1,068
vs. Medicare Baseline: 8.98x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Lake Chelan Community Hospital is $959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,068. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.98x the Medicare baseline. Located in 110 S Apple Blossom Dr, Chelan, WA.

Cash / Self-Pay

$1,068

Average discount available for prompt cash payment at this facility.

Insurance Median

$959

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: $1,068 (1000%)

Insurance Median: $959 (898%)

Cash: $1,068 (1000% of Medicare)

Ins. Median: $959 (898% 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 898% of the Medicare baseline (a markup of 798%). 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
Medicare (plans)	$40 - $959	37%
Molina - All Plans	$40 - $1,611	37%
UnitedHealthcare	$40 - $1,622	37%
Coordinated Care Comm - All Other Plans	$52 - $1,712	49%
Premera First - All Plans	$54 - $1,308	51%
First Choice - All Plans	$58 - $1,656	54%
Amerigroup Op Only - All Plans	$78 - $1,019	73%
Coordinated Care Mcaid	$78 - $1,019	73%
Aetna	$353 - $1,569	330%
Corvel - All Plans	$373 - $1,656	349%
Multiplan - All Plans	$1,552	1453%

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 $1,068.
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 Lake Chelan Community Hospital 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.