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
CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL
Malone, NY
See all hospitals reporting CPT 70486 →Price type
Alice Hyde Medical Center’s median price of $121 is 62% below the median hospital's median price ($321), higher than 14% 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: 5 payers, 20 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 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $55.97 | $55.97 | $55.97 – $55.97 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $81.14 | $81.14 | $38.93 – $123.35 |
| 3 | Excellus medicare advantage professional · fee schedule · both | $81.14 | $81.14 | $38.93 – $123.35 |
| 4 | Humana tricare professional · fee schedule · both | $102.65 | $102.65 | $102.65 – $102.65 |
| 5 | Excellus commercial professional · fee schedule · both | $121.40 | $121.40 | $57.62 – $185.18 |
| 6 | Aetna commercial professional · fee schedule · both | $134.40 | $134.40 | $63.78 – $205.01 |
| 7 | Excellus managed medicaid/essential plans professional · fee schedule · both | $144.45 | $144.45 | $37.35 – $251.55 |
| 8 | UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges | $157.50 | $157.50 | $18.90 – $296.10 |
| 9 | UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges | $157.50 | $157.50 | $18.90 – $296.10 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $161.68 | $169.03 | $71.98 – $280.78 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $196.20 | $196.20 | $92.88 – $299.52 |
| 12 | Excellus commercial facility · fee schedule · outpatient | $361.18 | $361.18 | $361.18 – $361.18 |
| 13 | Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges | $441.00 | $441.00 | $52.92 – $829.08 |
| 14 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $735.90 | $735.90 | $735.90 – $735.90 |
| 15 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $735.90 | $735.90 | $735.90 – $735.90 |
| 16 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $735.90 | $735.90 | $735.90 – $735.90 |
| 17 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $735.90 | $735.90 | $735.90 – $735.90 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,938 | $1,938 | $1,938 – $1,938 |
| 19 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,998 | $1,998 | $1,998 – $1,998 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,092 | $2,092 | $2,092 – $2,092 |
Last updated: Sep 8, 2026
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