CMS Price Transparency Data

CT scan, sinuses

Facility: Thedacare Regional Medical Center - Appleton Inc

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$196

about 1.8× the $107 Medicare rate · typically $127–$374

modeled estimate · not a bill or quote

What this hospital charges insurers

$342

Above the fair price

about $146 over the fair price · 3.2× Medicare

Medicare pays $107 Fair price $196 This hospital $342 Cash price $990 Hospital's list price $1,768

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $342

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

A fair price for a CT scan, sinuses is about $196 (about 1.8× the $107 Medicare rate). Thedacare Regional Medical Center - Appleton Inc charges insurers about $342, or about $990 in cash — above the fair price. Located in Appleton, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $196. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$46 - $749	43%
Blue Cross Blue Shieldmajor	$412 - $1,457	386%
Aetnamajor	$1,768	1655%
Cignamajor	$1,301	1218%
Humanamajor	$212	198%
HealthPartners	$243	228%
Quartz	$1,149	1076%
+ 1 smaller / regional plan	$1,184

Government programs also on file: Medicare, Medicaid.

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 990), 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 Thedacare Regional Medical Center - Appleton Inc 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 Thedacare Regional Medical Center - Appleton Inc

Compare: CT scan, sinuses at other WI hospitals

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