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 CTA HEAD W WO CONTRAST
Southaven, MS
See all hospitals reporting CPT 70496 →Price type
Baptist Memorial Hospital-DeSoto’s median price of $293 is 44% below the median hospital's median price ($519), higher than 28% of the 2,615 hospitals reporting CPT 70496. 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 | $163.01 | $163.01 | $163.01 – $163.01 |
| 2 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 3 | Devoted medicare facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 4 | Molina medicaid facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $167.90 | $168.44 | $166.27 – $171.16 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 7 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 8 | Humana medicare facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 9 | Blue Cross Blue Shield firstsource ppo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 10 | Blue Cross Blue Shield healthadvantage hmo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 11 | Blue Cross Blue Shield preferred payment plan facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 12 | Blue Cross Blue Shield trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 13 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 14 | Molina chip facility · fee schedule · outpatient | $285.27 | $285.27 | $285.27 – $285.27 |
| 15 | Molina exchange facility · fee schedule · outpatient | $301.57 | $301.57 | $301.57 – $301.57 |
| 16 | Humana ppo facility · fee schedule · outpatient | $491.00 | $491.00 | $491.00 – $491.00 |
| 17 | Blue Cross Blue Shield network e facility · fee schedule · outpatient | $509.89 | $509.89 | $509.89 – $509.89 |
| 18 | Blue Cross Blue Shield network l facility · fee schedule · outpatient | $565.10 | $565.10 | $565.10 – $565.10 |
| 19 | Humana cpos/hmo/npos facility · fee schedule · outpatient | $574.00 | $574.00 | $574.00 – $574.00 |
| 20 | Blue Cross Blue Shield network s facility · fee schedule · outpatient | $626.81 | $626.81 | $626.81 – $626.81 |
| 21 | UnitedHealthcare chip facility · per diem · outpatient | $768.00 | $768.00 | $768.00 – $768.00 |
| 22 | Blue Cross Blue Shield network p facility · fee schedule · outpatient | $893.12 | $893.12 | $893.12 – $893.12 |
| 23 | UnitedHealthcare commercial facility · fee schedule · outpatient | $985.00 | $985.00 | $985.00 – $985.00 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,077 | $1,077 | $1,077 – $1,077 |
| 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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