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
Carthage, MS
See all hospitals reporting CPT 70486 →Price type
Baptist Memorial Hospital - Leake’s median price of $907 is 183% above the median hospital's median price ($321), higher than 75% 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: 10 payers, 19 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 | Molina medicaid facility · fee schedule · outpatient | $94.92 | $94.92 | $94.92 – $94.92 |
| 2 | Molina chip facility · fee schedule · outpatient | $162.85 | $162.85 | $162.85 – $162.85 |
| 3 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $478.69 | $478.69 | $478.69 – $478.69 |
| 4 | UnitedHealthcare aarp facility · percent of total billed charges · outpatientfrom % of charges | $503.88 | $503.88 | $503.88 – $503.88 |
| 5 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $513.96 | $513.96 | $513.96 – $513.96 |
| 6 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $519.00 | $519.00 | $519.00 – $519.00 |
| 7 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $529.07 | $529.07 | $529.07 – $529.07 |
| 8 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $529.07 | $529.07 | $529.07 – $529.07 |
| 9 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $529.07 | $529.07 | $529.07 – $529.07 |
| 10 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $529.07 | $529.07 | $529.07 – $529.07 |
| 11 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $932.18 | $932.18 | $932.18 – $932.18 |
| 12 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $1,037 | $1,037 | $1,037 – $1,037 |
| 13 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $1,037 | $1,037 | $1,037 – $1,037 |
| 14 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $1,037 | $1,037 | $1,037 – $1,037 |
| 15 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $1,037 | $1,037 | $1,037 – $1,037 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 19 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,260 | $1,260 | $1,260 – $1,260 |
Last updated: Feb 20, 2026
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