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
Carmel, IN
See all hospitals reporting CPT 70486 →Price type
Ascension St. Vincent Heart Center’s median price of $101 is 68% below the median hospital's median price ($321), higher than 4% 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: 7 payers, 28 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 | Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 2 | Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 3 | Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 4 | Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 5 | Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 6 | Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 7 | Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 8 | Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 9 | Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 10 | UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 11 | WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $66.53 | $66.53 | $66.53 – $66.53 |
| 12 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both | $70.97 | $70.97 | $40.85 – $101.08 |
| 13 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both | $101.08 | $94.62 | $40.85 – $141.92 |
| 14 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both | $101.08 | $94.62 | $40.85 – $141.92 |
| 15 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $52.45 | $113.86 | $34.02 – $243.00 |
| 16 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $121.50 | $130.01 | $34.02 – $243.00 |
| 17 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $168.22 | $145.27 | $73.90 – $242.12 |
| 18 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 19 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 20 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 21 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 22 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 23 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 24 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $168.22 | $161.41 | $73.90 – $242.12 |
| 25 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $302.21 | $302.21 | $302.21 – $302.21 |
Last updated: Jan 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.