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 AX+COR WO CONTRAST
Southaven, MS
See all hospitals reporting CPT 70486 →Price type
Baptist Memorial Hospital-DeSoto’s median price of $175 is 45% below the median hospital's median price ($321), higher than 30% 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, 32 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 | Oscar commercial facility · fee schedule · outpatient | $97.38 | $97.38 | $97.38 – $97.38 |
| 2 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 3 | Devoted medicare facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 4 | Molina medicaid facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $100.30 | $100.63 | $99.33 – $102.25 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 7 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 8 | Humana medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 9 | Blue Cross Blue Shield firstsource ppo facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 10 | Blue Cross Blue Shield healthadvantage hmo facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 11 | Blue Cross Blue Shield preferred payment plan facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 12 | Blue Cross Blue Shield trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 13 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 14 | Molina chip facility · fee schedule · outpatient | $170.41 | $170.41 | $170.41 – $170.41 |
| 15 | Molina exchange facility · fee schedule · outpatient | $180.15 | $180.15 | $180.15 – $180.15 |
| 16 | Blue Cross Blue Shield network e facility · fee schedule · outpatient | $212.42 | $212.42 | $212.42 – $212.42 |
| 17 | Blue Cross Blue Shield network l facility · fee schedule · outpatient | $235.42 | $235.42 | $235.42 – $235.42 |
| 18 | Blue Cross Blue Shield network s facility · fee schedule · outpatient | $261.13 | $261.13 | $261.13 – $261.13 |
| 19 | Blue Cross Blue Shield network p facility · fee schedule · outpatient | $372.07 | $372.07 | $372.07 – $372.07 |
| 20 | Humana ppo facility · fee schedule · outpatient | $491.00 | $491.00 | $491.00 – $491.00 |
| 21 | Humana cpos/hmo/npos facility · fee schedule · outpatient | $574.00 | $574.00 | $574.00 – $574.00 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $549.90 | $697.06 | $535.34 – $1,006 |
| 23 | UnitedHealthcare chip facility · per diem · outpatient | $768.00 | $768.00 | $768.00 – $768.00 |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $985.00 | $985.00 | $985.00 – $985.00 |
| 25 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $1,134 | $1,134 | $1,134 – $1,134 |
Last updated: Feb 27, 2026
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