CT scan, sinuses
Facility: Intermountain Health Sanpete Valley Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $1,764
- Cash Discount Price: $1,392
- vs. Medicare Baseline: 16.52x 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 1652% of the Medicare baseline (a markup of 1552%). 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 |
|---|---|---|
| Health Partners of Nevada | $40 - $557 | 37% |
| UnitedHealthcare | $40 - $1,764 | 37% |
| Selecthealth | $40 - $1,764 | 37% |
| Blue Cross Blue Shield | $40 - $1,764 | 37% |
| Molina | $40 - $1,764 | 37% |
| Health Plan of Nevada | $40 - $1,652 | 37% |
| Healthy U | $40 - $1,652 | 37% |
| American Health | $40 - $557 | 37% |
| Aetna | $40 - $1,782 | 37% |
| Humana | $40 - $1,764 | 37% |
| Managed Care Admin | $533 - $1,764 | 499% |
| Cigna | $533 - $1,764 | 499% |
| Ifit | $533 - $1,764 | 499% |
| Emi | $533 - $1,764 | 499% |
| Awh Connected | $533 - $1,782 | 499% |
| Franklin County | $533 - $1,764 | 499% |
| Utah Tech | $533 - $1,764 | 499% |
| Tanner LLC | $533 - $1,764 | 499% |
| Campbell Scientific | $533 - $1,764 | 499% |
| Wise Network | $533 - $1,764 | 499% |
| Juniper Systems | $533 - $1,764 | 499% |
| Health Utah | $533 - $1,764 | 499% |
| Motivhealth | $533 - $1,764 | 499% |
| Lw Miller | $533 - $1,764 | 499% |
| Emi Health | $533 - $1,764 | 499% |
| Pehp | $533 - $1,764 | 499% |
| Byu Athletics | $533 - $1,764 | 499% |
| Deseret Mutual | $533 - $1,764 | 499% |
| Prodegi Corp Benefit | $533 - $1,764 | 499% |
| Triwest | $578 - $1,677 | 541% |
| Injury Care of Nevada | $1,392 | 1303% |
| Wcf Insurance | $1,578 | 1477% |
| Corporation of the President | $1,578 | 1477% |
| Byu Risk Management | $1,578 | 1477% |
| Corvel Corporation | $1,578 | 1477% |
| Global Excel | $1,764 | 1652% |
| Uofu | $1,764 | 1652% |
| Springtide | $1,764 | 1652% |
| Medcare International | $1,764 | 1652% |
| Hygeia Corporation | $1,764 | 1652% |