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
HC CT MAXILLOFACIAL W/O CONTRAST
Shelby, NC
See all hospitals reporting CPT 70486 →Price type
Atrium Health Hospitals Inc’s median price of $680 is 112% above the median hospital's median price ($321), higher than 68% 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: 14 payers, 49 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 | $101.85 | $101.85 | $101.85 – $101.85 |
| 6 | Aetna medicare advantage fee schedule · outpatient | $103.35 | $103.35 | $103.35 – $103.35 |
| 7 | Cigna Healthspring medicare advantage fee schedule · outpatient | $104.85 | $104.85 | $104.85 – $104.85 |
| 8 | UnitedHealthcare medicare advantage fee schedule · outpatient | $105.16 | $105.16 | $105.16 – $105.16 |
| 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 | $323.22 | $323.22 | $323.22 – $323.22 |
| 13 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $329.41 | $329.41 | $329.41 – $329.41 |
| 14 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $479.45 | $479.45 | $479.45 – $479.45 |
| 15 | UnitedHealthcare hmo-ppo managed care fee schedule · both | $511.42 | $511.42 | $511.42 – $511.42 |
| 16 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $514.96 | $514.96 | $514.96 – $514.96 |
| 17 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $516.79 | $516.79 | $516.79 – $516.79 |
| 18 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $607.05 | $607.05 | $607.05 – $607.05 |
| 19 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $679.89 | $679.89 | $679.89 – $679.89 |
| 20 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $694.10 | $694.10 | $694.10 – $694.10 |
| 21 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $731.67 | $731.67 | $731.67 – $731.67 |
| 22 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $831.54 | $831.54 | $831.54 – $831.54 |
| 23 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $843.00 | $843.00 | $843.00 – $843.00 |
| 24 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $879.65 | $879.65 | $879.65 – $879.65 |
| 25 | Aetna north carolina preferred plus commercial case rate · outpatient | $906.00 | $906.00 | $906.00 – $906.00 |
Last updated: Dec 1, 2025
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