CMS Price Transparency Data

CT scan, sinuses

Facility: Beloit Health System

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,789
Cash Discount Price: $784
vs. Medicare Baseline: 16.75x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Beloit Health System is $1,789. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.75x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$784

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,789

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: $784 (734%)

Insurance Median: $1,789 (1675%)

Cash: $784 (734% of Medicare)

Ins. Median: $1,789 (1675% 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 1675% of the Medicare baseline (a markup of 1575%). 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
Aetna	$88 - $5,162	82%
Blue Cross Blue Shield	$88 - $3,532	82%
Dean Health	$88 - $3,041	82%
Independent Care Health Plan	$88 - $128	82%
Quartz	$88 - $3,532	82%
UnitedHealthcare	$88 - $2,148	82%
Cook Children'S Health Plan (Cchp)	$110 - $2,717	103%
Humana	$110 - $2,236	103%
Managed Health Services	$110	103%
Molina Healthcare	$110	103%
Wellcare	$110	103%
Naphcare	$132 - $1,789	124%
The Alliance	$334 - $1,435	313%
Wps	$440 - $4,025	412%
Wea Trust	$872 - $2,989	816%
Multiplan	$1,269 - $4,347	1188%
Health Eos	$1,412 - $4,945	1322%
Cigna	$1,459 - $5,162	1366%
Hfn	$1,459 - $5,162	1366%
Preferred Network Access	$1,459 - $5,162	1366%

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 $784.
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 Beloit Health System 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.