CT scan, sinuses
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $2,570
- Cash Discount Price: $3,427
- vs. Medicare Baseline: 24.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2406% of the Medicare baseline (a markup of 2306%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $2,056 | 1925% |
| Americas Choice Provider Network | $2,399 | 2246% |
| Quiktrip Corporation | $2,570 | 2406% |
| Provider Network Of America | $2,570 | 2406% |
| Velocity | $2,570 | 2406% |
| Usa Managed Care Organization | $2,570 | 2406% |
| Multiplan-Phcs | $2,741 | 2566% |
| Prime Health Services | $2,913 | 2727% |
| Medincrease | $3,084 | 2887% |
Consumer Guidance & Cost Commentary
For the CT scan of the sinuses (CPT 70486) at the Rehabilitation Hospital Of Overland Park, the cash price is $3,427.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state of Kansas average, reflecting a markup of 24.1% over the Medicare benchmark of $106.81. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate rates ranging from $2,056 to $2,913, these figures often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can be more cost-effective than relying on insurance, provided the patient understands that their out-of-pocket costs may still be substantial if their deductible has not been met.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is crucial to request a waiver of insurance submission to ensure the facility processes the account as a cash payment rather than submitting a claim that would void any discount. Additionally, if you receive a bill from an out-of-network provider, you may be subject to balance billing for the difference between the allowed amount and the full charge; however, the No Surprises Act protects you from these surprise bills for emergency care and non-emergency services at in-network facilities. Always request a detailed, itemized bill to verify that no services were rendered or bundled incorrectly before making any payment.