CT scan of face and jaw without contrast dye at Champlain Valley Physicians Hospital Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $91 is 72% below the median hospital's median price ($321), higher than 2% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 38 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	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$26.78	$26.78	$26.78 – $26.78
2	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$34.43	$34.43	$34.43 – $34.43
3	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$34.43	$34.43	$34.43 – $34.43
4	Blue Cross Blue Shield blue access professional · fee schedule · both	$36.20	$36.20	$36.20 – $36.20
5	Excellus managed medicaid/essential plans professional · fee schedule · both	$37.35	$37.35	$37.35 – $37.35
6	Aetna medicare advantage professional · fee schedule · both	$38.26	$38.26	$38.26 – $38.26
7	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$38.26	$38.26	$38.26 – $38.26
8	Excellus medicare advantage professional · fee schedule · both	$38.26	$38.26	$38.26 – $38.26
9	Humana tricare professional · fee schedule · both	$38.26	$38.26	$38.26 – $38.26
10	UnitedHealthcare medicare advantage professional · fee schedule · both	$38.26	$38.26	$38.26 – $38.26
11	Blue Cross Blue Shield hmo professional · fee schedule · both	$38.33	$38.33	$38.33 – $38.33
12	Blue Cross Blue Shield ind professional · fee schedule · both	$40.46	$40.46	$40.46 – $40.46
13	Blue Cross Blue Shield ppo professional · fee schedule · both	$42.59	$42.59	$42.59 – $42.59
14	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$44.58	$44.58	$40.96 – $48.19
15	Highmark ind/fep professional · fee schedule · both	$48.11	$48.11	$48.11 – $48.11
16	Highmark ppo/hmo professional · fee schedule · both	$48.11	$48.11	$48.11 – $48.11
17	Excellus commercial professional · fee schedule · both	$57.62	$57.62	$57.62 – $57.62
18	Aetna commercial professional · fee schedule · both	$60.07	$60.07	$60.07 – $60.07
19	Blue Cross Blue Shield individual network professional · fee schedule · both	$61.22	$61.22	$61.22 – $61.22
20	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$66.90	$66.90	$66.90 – $66.90
21	UnitedHealthcare commercial professional · fee schedule · both	$92.88	$92.88	$92.88 – $92.88
22	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$108.30	$108.30	$108.30 – $108.30
23	Excellus medicare advantage facility · fee schedule · outpatient	$122.84	$122.84	$122.84 – $122.84
24	Humana tricare facility · fee schedule · outpatient	$123.43	$123.43	$123.43 – $123.43
25	Aetna medicare advantage facility · fee schedule · outpatient	$129.93	$129.93	$129.93 – $129.93

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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