CT scan, sinuses
Facility: Bmh-Calhoun
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $953
- Cash Discount Price: $640
- vs. Medicare Baseline: 8.92x 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 892% of the Medicare baseline (a markup of 792%). 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 |
|---|---|---|
| Veterans Evaluation Services | $106 | 99% |
| Molina | $108 - $979 | 101% |
| PPO Holdings | $468 | 438% |
| Magnolia Regional Health Center | $492 | 461% |
| Tricare | $503 | 471% |
| Ms Breast and Cervical | $529 | 495% |
| Vaccn | $529 | 495% |
| Triwest | $529 | 495% |
| Devoted Health | $540 | 506% |
| Blue Cross Blue Shield | $545 - $985 | 510% |
| Primewell | $556 | 521% |
| Humana | $556 - $985 | 521% |
| Shared Health | $556 | 521% |
| American Health Plan | $556 | 521% |
| Aetna | $556 - $800 | 521% |
| Magnolia Ms | $603 | 565% |
| Littler | $616 | 577% |
| Cigna | $677 | 634% |
| First Choice Health Plan of Ms | $794 | 743% |
| Burch Food Services | $900 | 843% |
| First State Bank Trust | $900 | 843% |
| Bartlett City Schools | $953 | 892% |
| Mechanical Systems | $953 | 892% |
| Desoto Co Board of Supervisors | $953 | 892% |
| Eas Mssc Schools | $953 | 892% |
| Mid-South Transport | $953 | 892% |
| Ritchey Automotive | $953 | 892% |
| Heartland Catfish Company | $953 | 892% |
| First Community Bank | $953 | 892% |
| Vaughn Electric | $953 | 892% |
| Minact | $953 | 892% |
| Y K Auto Group | $953 | 892% |
| Radians | $953 | 892% |
| Town of Collierville | $953 | 892% |
| Malco Theaters | $953 | 892% |
| Lakeland School System | $953 | 892% |
| Hollowell Industries | $953 | 892% |
| French Camp Academy | $953 | 892% |
| Carlisle | $953 | 892% |
| Collierville Schools | $953 | 892% |
| Rei Nation | $953 | 892% |
| Security One | $953 | 892% |
| City of Bartlett | $953 | 892% |
| Retzer Resources | $953 | 892% |
| Delta Industries | $953 | 892% |
| City of Lakeland | $953 | 892% |
| Cannon Motor Company | $953 | 892% |
| Building Plastic | $953 | 892% |
| Jas D Collier | $953 | 892% |
| Watkins Uiberall | $953 | 892% |
| Arlington Community Schools | $953 | 892% |
| Patterson Warehouses | $953 | 892% |
| W W Wood Products | $953 | 892% |
| Heavy Machines | $953 | 892% |
| Brimhall Foods | $953 | 892% |
| State Systems | $953 | 892% |
| W G Yates | $953 | 892% |
| Silver Tree | $953 | 892% |
| Armstrong Relocation | $953 | 892% |
| Crittenden County | $953 | 892% |
| Hattiesburg Clinic | $953 | 892% |
| Dunn Investment Company | $953 | 892% |
| United Tn Holdings | $953 | 892% |
| Gossett Motor Cars | $953 | 892% |
| Hospitality Management Advisors | $953 | 892% |
| Ashley Furniture Stores | $953 | 892% |
| Davidson Hospitality | $953 | 892% |
| Christian Health Aid | $985 | 922% |
| Advanced Health Systems Inc. | $985 | 922% |
| PPO Plus | $1,046 | 979% |
| Employers Health Network | $1,059 | 991% |
| Harding Academy | $1,059 | 991% |
| Qca | $1,108 | 1037% |
| Multiplan | $1,108 | 1037% |