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
Ontario, OH
See all hospitals reporting CPT 70486 →Price type
Avita Ontario Hospital’s median price of $613 is 91% 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.
Negotiated rates from the hospital’s own file: 8 payers, 27 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 | Medical Mutual commercial percent of total billed charges · bothfrom % of charges | $47.80 | $47.80 | $47.80 – $47.80 |
| 2 | Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges | $309.95 | $309.95 | $309.95 – $309.95 |
| 3 | Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges | $309.95 | $309.95 | $309.95 – $309.95 |
| 4 | UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges | $309.95 | $309.95 | $309.95 – $309.95 |
| 5 | Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges | $319.25 | $319.25 | $319.25 – $319.25 |
| 6 | Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges | $335.22 | $335.22 | $335.22 – $335.22 |
| 7 | Aetna medicare_outpatient percent of total billed charges · bothfrom % of charges | $601.30 | $601.30 | $601.30 – $601.30 |
| 8 | Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges | $601.30 | $601.30 | $601.30 – $601.30 |
| 9 | Humana medicare_outpatient percent of total billed charges · bothfrom % of charges | $601.30 | $601.30 | $601.30 – $601.30 |
| 10 | Molina medicare_outpatient percent of total billed charges · bothfrom % of charges | $601.30 | $601.30 | $601.30 – $601.30 |
| 11 | UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges | $601.30 | $601.30 | $601.30 – $601.30 |
| 12 | Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges | $613.33 | $613.33 | $613.33 – $613.33 |
| 13 | Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges | $1,502 | $1,502 | $1,502 – $1,502 |
| 14 | Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $1,774 | $1,774 | $1,774 – $1,774 |
| 15 | Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges | $1,789 | $1,789 | $1,789 – $1,789 |
| 16 | Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges | $1,945 | $1,945 | $1,945 – $1,945 |
| 17 | Cigna commercial percent of total billed charges · bothfrom % of charges | $2,285 | $2,285 | $2,285 – $2,285 |
| 18 | Aetna all_commercial percent of total billed charges · bothfrom % of charges | $2,493 | $2,493 | $2,493 – $2,493 |
| 19 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $2,493 | $2,493 | $2,493 – $2,493 |
| 20 | Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $2,493 | $2,493 | $2,493 – $2,493 |
| 21 | Anthem medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 22 | Humana medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 23 | Molina medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 24 | UnitedHealthcare medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 25 | Aetna medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
Last updated: Mar 23, 2026
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