CMS Price Transparency Data

CT scan, sinuses

Facility: Vidant Chowan Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,475
Cash Discount Price: $2,190
vs. Medicare Baseline: 23.17x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Vidant Chowan Hospital is $2,475. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.17x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$2,190

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,475

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: $2,190 (2050%)

Insurance Median: $2,475 (2317%)

Cash: $2,190 (2050% of Medicare)

Ins. Median: $2,475 (2317% 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 2317% of the Medicare baseline (a markup of 2217%). 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
Blue Cross Blue Shield	$1,174 - $2,373	1099%
Carolina Complete Health [1317]	$1,186	1110%
Wellcare [1320]	$1,191	1115%
Amerihealth McAid Adv [1316]	$1,197	1121%
Humana	$1,212	1135%
UnitedHealthcare	$1,318 - $2,409	1234%
Liberty Advantage [1313]	$1,357	1270%
Aetna	$1,396 - $3,198	1307%
Longevity Health [1411]	$1,677	1570%
Nc Dept of Public Safety [1095]	$2,190	2050%
Medcost [1067]	$2,475 - $2,608	2317%
Cigna	$3,324 - $3,714	3112%
Multiplan [1031]	$3,714	3477%

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 $2,190.
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 Vidant Chowan 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.