CMS Price Transparency Data

CT scan, sinuses

Facility: Platte County Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,358
Cash Discount Price: $1,584
vs. Medicare Baseline: 22.08x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Platte County Hospital is $2,358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,584. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.08x the Medicare baseline. Located in 201 14Th Street, Wheatland, WY.

Cash / Self-Pay

$1,584

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,358

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: $1,584 (1483%)

Insurance Median: $2,358 (2208%)

Cash: $1,584 (1483% of Medicare)

Ins. Median: $2,358 (2208% 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 2208% of the Medicare baseline (a markup of 2108%). 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
UnitedHealthcare	$1,179 - $2,323	1104%
Banner Health	$1,400	1311%
Humana	$1,400	1311%
Medica	$1,400 - $2,331	1311%
Triwest Healthcare Alliance Corp - Va Ccn	$1,400	1311%
Interwest Health	$1,428 - $2,407	1337%
Prime Health Services	$1,428 - $2,407	1337%
Platte County Detention Center	$1,965	1840%
Blue Cross Blue Shield	$2,333	2184%
First Choice Health Network	$2,333	2184%
Hue Health, Inc	$2,333	2184%
Imagine Health, Llc (Wka Wise Provider Network)	$2,333	2184%
Mountain Health Cooperative (Co-Op)	$2,333	2184%
Coventry	$2,358	2208%
First Health	$2,358	2208%
Midlands Choice	$2,358	2208%
Cigna	$2,382	2230%
Multiplan	$2,382	2230%

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 $1,584.
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 Platte County 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.