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
Ct maxillofacial w/o dye
Devils Lake, ND
See all hospitals reporting CPT 70486 →Price type
Altru Hospital Devils Lake’s median price of $165 is 49% below the median hospital's median price ($321), higher than 27% 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, 10 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 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $39.82 | $39.82 | $39.82 – $39.82 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $55.95 | $55.95 | $55.95 – $55.95 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $55.95 | $55.95 | $55.95 – $55.95 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $101.04 | $101.04 | $101.04 – $101.04 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 6 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $146.08 | $146.08 | $124.73 – $167.43 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $152.21 | $152.21 | $112.15 – $192.26 |
| 8 | Medica all commercial plans facility · fee schedule · outpatient | $164.56 | $164.56 | $164.56 – $164.56 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $192.69 | $192.69 | $192.69 – $192.69 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $209.14 | $209.14 | $209.14 – $209.14 |
Last updated: Mar 1, 2026
See CT scan of face and jaw without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.