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 dye
Butler, PA
See all hospitals reporting CPT 70486 →Price type
Butler Healthcare Providers_ DBA Butler Memorial Hospital’s median price of $137 is 57% below the median hospital's median price ($321), higher than 20% 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: 9 payers, 28 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 tricare facility · case rate · outpatient | $102.30 | $102.30 | $102.30 – $102.30 |
| 2 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $103.33 | $103.33 | $102.30 – $104.35 |
| 3 | Aetna mcr advantage facility · case rate · outpatient | $105.37 | $105.37 | $105.37 – $105.37 |
| 4 | Humana mcr advantage facility · case rate · outpatient | $106.40 | $106.40 | $106.40 – $106.40 |
| 5 | Devoted mcr advantage facility · case rate · outpatient | $108.44 | $108.44 | $108.44 – $108.44 |
| 6 | Aetna auto network facility · case rate · outpatient | $112.53 | $112.53 | $112.53 – $112.53 |
| 7 | Highmark chip facility · case rate · outpatient | $128.53 | $128.53 | $128.53 – $128.53 |
| 8 | Medicaid traditional medicaid facility · fee schedule · outpatient | $130.00 | $130.00 | $130.00 – $130.00 |
| 9 | UnitedHealthcare mcd advantage facility · fee schedule · outpatient | $130.00 | $130.00 | $130.00 – $130.00 |
| 10 | Highmark chip facility · percent of total billed charges · outpatientfrom % of charges | $38.90 | $133.44 | $24.31 – $289.85 |
| 11 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $38.90 | $133.44 | $24.31 – $289.85 |
| 12 | Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $38.90 | $133.44 | $24.31 – $289.85 |
| 13 | Aetna mcd advantage facility · case rate · outpatient | $149.50 | $149.50 | $149.50 – $149.50 |
| 14 | Highmark mcr advantage facility · case rate · outpatient | $170.02 | $170.02 | $100.26 – $239.78 |
| 15 | Highmark commercial facility · case rate · outpatient | $211.56 | $187.40 | $134.85 – $215.80 |
| 16 | Cigna commercial facility · case rate · outpatient | $233.75 | $233.75 | $233.75 – $233.75 |
| 17 | Aetna commercial facility · case rate · outpatient | $235.30 | $235.30 | $235.30 – $235.30 |
| 18 | Aetna hmo facility · case rate · outpatient | $235.30 | $235.30 | $235.30 – $235.30 |
| 19 | UnitedHealthcare commercial facility · case rate · outpatient | $262.37 | $262.37 | $262.37 – $262.37 |
| 20 | Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges | $83.20 | $285.44 | $52.00 – $620.00 |
| 21 | Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $83.20 | $285.44 | $52.00 – $620.00 |
| 22 | Aetna rental network facility · fee schedule · outpatient | $322.80 | $322.80 | $322.80 – $322.80 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $104.00 | $356.80 | $65.00 – $775.00 |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $104.00 | $356.80 | $65.00 – $775.00 |
| 25 | Aetna rental network facility · percent of total billed charges · outpatientfrom % of charges | $135.20 | $463.84 | $84.50 – $1,008 |
Last updated: Jan 1, 2026
See CT scan of face and jaw without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.