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/O CONTRAST
Washington Court House, OH
See all hospitals reporting CPT 70486 →Price type
Adena Fayette Medical Center’s median price of $962 is 200% above the median hospital's median price ($321), higher than 76% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Caresource commercial facility · case rate · outpatient | $213.62 | $213.62 | $213.62 – $213.62 |
| 2 | Molina commercial facility · case rate · outpatient | $218.96 | $218.96 | $218.96 – $218.96 |
| 3 | Molina dual medicaid facility · other · outpatient | $374.84 | $374.84 | $374.84 – $374.84 |
| 4 | Molina managed medicaid facility · other · outpatient | $374.84 | $374.84 | $374.84 – $374.84 |
| 5 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $397.67 | $397.67 | $397.67 – $397.67 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $627.10 | $627.10 | $627.10 – $627.10 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $627.10 | $627.10 | $627.10 – $627.10 |
| 8 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $627.10 | $627.10 | $627.10 – $627.10 |
| 9 | Molina medicare advantage/dual facility · percent of total billed charges · outpatientfrom % of charges | $627.10 | $627.10 | $627.10 – $627.10 |
| 10 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $639.64 | $639.64 | $639.64 – $639.64 |
| 11 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $671.45 | $671.45 | $671.45 – $671.45 |
| 12 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $737.22 | $737.22 | $737.22 – $737.22 |
| 13 | Anthem blue preferred/blue access facility · percent of total billed charges · inpatientfrom % of charges | $920.76 | $920.76 | $920.76 – $920.76 |
| 14 | Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges | $929.94 | $929.94 | $929.94 – $929.94 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $962.06 | $959.00 | $952.88 – $962.06 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $962.06 | $959.00 | $952.88 – $962.06 |
| 17 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $992.65 | $992.65 | $992.65 – $992.65 |
| 18 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1,002 | $1,002 | $1,002 – $1,002 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,054 | $1,054 | $1,054 – $1,054 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,054 | $1,054 | $1,054 – $1,054 |
| 21 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 22 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 23 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · inpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 24 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · outpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 25 | Medical Mutual traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
Last updated: Aug 19, 2026
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