Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT MAXILLOFACIAL W/CONTRAST
The hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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175 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $487.65 | $487.65 – $487.65 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1,736 | $1,736 – $1,736 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1,538 | $943.00 – $1,736 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $167.48 | $167.48 – $167.48 |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,044 | $1,044 – $1,044 |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,244 | $1,044 – $1,444 |
| 7 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,650 | $2,500 – $2,800 |
| 8 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,650 | $2,500 – $2,800 |
| 9 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,650 | $2,500 – $2,800 |
| 10 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 1 | $510.83 | $510.83 – $510.83 |
| 11 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3,588 | $3,588 – $3,588 |
| 12 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $533.59 | $122.90 – $944.27 |
| 13 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $657.43 | $657.43 – $657.43 |
| 14 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $147.50 | $147.50 – $147.50 |
| 15 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $846.00 | $110.70 – $1,581 |
| 16 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $174.35 | $174.35 – $174.35 |
| 17 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 1 | $3,588 | $3,588 – $3,588 |
| 18 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 2 | $1,825 | $1,058 – $2,592 |
| 19 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $487.65 | $487.65 – $487.65 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1,146 | $1,146 – $1,146 |
| 21 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1,326 | $1,326 – $1,326 |
| 22 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $2,069 | $1,634 – $2,504 |
| 23 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $2,069 | $1,634 – $2,504 |
| 24 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $1,224 | $1,224 – $1,224 |
| 25 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $168.43 | $168.43 – $168.43 |
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