CT scan of face and jaw without contrast dye at Atrium Health Hospitals Inc

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT MAXILLOFACIAL W/O CONTRAST

Lincolnton, NC

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How this price compares nationally

Atrium Health Hospitals Inc’s median price of $607 is 89% above the median hospital's median price ($321), higher than 65% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Atrium Health Hospitals Inc

Negotiated rates from the hospital’s own file: 13 payers, 53 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	Cigna Healthspring medicare advantage fee schedule · both	$80.49	$78.95	$37.94 – $118.43
2	Humana medicare advantage fee schedule · both	$82.10	$80.53	$38.70 – $120.80
3	Aetna medicare advantage fee schedule · both	$83.31	$81.72	$39.27 – $122.58
4	UnitedHealthcare medicare advantage case rate · both	$83.54	$81.94	$39.38 – $122.91
5	Humana medicare advantage fee schedule · outpatient	$101.76	$101.76	$101.76 – $101.76
6	Aetna medicare advantage fee schedule · outpatient	$103.25	$103.25	$103.25 – $103.25
7	Cigna Healthspring medicare advantage fee schedule · outpatient	$104.75	$104.75	$104.75 – $104.75
8	UnitedHealthcare medicare advantage fee schedule · outpatient	$105.06	$105.06	$105.06 – $105.06
9	Amerihealth Caritas managed medicaid fee schedule · both	$133.72	$133.72	$47.66 – $219.77
10	UnitedHealthcare managed medicaid fee schedule · both	$133.72	$133.72	$47.66 – $219.77
11	WellCare managed medicaid fee schedule · both	$133.72	$133.72	$47.66 – $219.77
12	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$258.40	$258.40	$258.40 – $258.40
13	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$263.21	$263.21	$263.21 – $263.21
14	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$380.95	$380.95	$380.95 – $380.95
15	UnitedHealthcare hmo-ppo managed care fee schedule · both	$511.42	$511.42	$511.42 – $511.42
16	Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges	$607.05	$607.05	$607.05 – $607.05
17	Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges	$656.76	$656.76	$656.76 – $656.76
18	Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges	$692.26	$692.26	$692.26 – $692.26
19	Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges	$694.10	$694.10	$694.10 – $694.10
20	Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges	$749.30	$749.30	$749.30 – $749.30
21	Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges	$767.40	$767.40	$767.40 – $767.40
22	Ambetter individual commercial percent of total billed charges · inpatientfrom % of charges	$852.16	$852.16	$852.16 – $852.16
23	Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges	$852.16	$852.16	$852.16 – $852.16
24	Bcbs Nc hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges	$864.30	$864.30	$864.30 – $864.30
25	Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges	$885.60	$885.60	$885.60 – $885.60

Page 1 of 3 · 53 rates

Last updated: Dec 1, 2025

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