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
Antigo, WI
See all hospitals reporting CPT 70486 →Price type
Aspirus Langlade Hospital’s median price of $271 is 15% below the median hospital's median price ($321), higher than 47% 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 | Tricare tricare plans fee schedule · both | $37.83 | $37.83 | $37.83 – $37.83 |
| 2 | UnitedHealthcare va community care network fee schedule · both | $37.83 | $37.83 | $37.83 – $37.83 |
| 3 | UnitedHealthcare united healthcare wisconsin medicaid plans fee schedule · both | $57.17 | $57.17 | $57.17 – $57.17 |
| 4 | Anthem anthem wisconsin medicaid plans fee schedule · both | $247.43 | $247.43 | $247.43 – $247.43 |
| 5 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both | $295.09 | $295.09 | $295.09 – $295.09 |
| 6 | Anthem anthem blue preferred pos fee schedule · both | $308.16 | $308.16 | $308.16 – $308.16 |
| 7 | Anthem anthem blue access ppo fee schedule · both | $323.57 | $323.57 | $323.57 – $323.57 |
| 8 | Anthem anthem federal employee program fee schedule · both | $323.57 | $323.57 | $323.57 – $323.57 |
| 9 | Healthpartners health partners commercial ppo fee schedule · both | $485.46 | $485.46 | $485.46 – $485.46 |
| 10 | MultiPlan aetna health plan ppo networks fee schedule · both | $501.12 | $501.12 | $501.12 – $501.12 |
Last updated: Apr 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.