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
CT Maxillofacial W/O Contrast Material
Falls, MT
See all hospitals reporting CPT 70486 →Price type
Benefis Hospitals Inc’s median price of $131 is 59% below the median hospital's median price ($321), higher than 17% 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: 12 payers, 29 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 | Tricare bhs hb tricare other · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 2 | Aetna bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 3 | Anthem bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 4 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 5 | Kaiser bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 6 | Medicare bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 7 | WellCare bhs hb medicare other · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 8 | Cigna bhs hb allegiance fee schedule · outpatient | $130.52 | $130.52 | $130.52 – $130.52 |
| 9 | Healthpartners bhs hb allegiance fee schedule · outpatient | $130.52 | $130.52 | $130.52 – $130.52 |
| 10 | Kaiser bhs hb allegiance fee schedule · outpatient | $130.52 | $130.52 | $130.52 – $130.52 |
| 11 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $130.52 | $130.52 | $130.52 – $130.52 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $165.74 | $165.74 | $165.74 – $165.74 |
| 13 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $342.06 | $342.06 | $342.06 – $342.06 |
| 14 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $456.08 | $456.08 | $456.08 – $456.08 |
| 15 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo fee schedule · outpatient | $456.08 | $456.08 | $456.08 – $456.08 |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $486.85 | $486.85 | $61.75 – $911.95 |
| 17 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $561.75 | $561.75 | $71.25 – $1,052 |
| 18 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $599.20 | $599.20 | $76.00 – $1,122 |
| 19 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $609.69 | $609.69 | $77.33 – $1,142 |
| 20 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $636.65 | $636.65 | $80.75 – $1,193 |
| 21 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $636.65 | $636.65 | $80.75 – $1,193 |
| 22 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges | $644.14 | $644.14 | $81.70 – $1,207 |
| 23 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $674.10 | $674.10 | $85.50 – $1,263 |
| 24 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $674.10 | $674.10 | $85.50 – $1,263 |
| 25 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $674.10 | $674.10 | $85.50 – $1,263 |
Last updated: Mar 26, 2026
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