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
Keene, NH
See all hospitals reporting CPT 70486 →Price type
Cheshire Medical Center’s median price of $209 is 35% below the median hospital's median price ($321), higher than 37% 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, 75 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 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $66.59 | $66.59 | $40.54 – $92.63 |
| 2 | Ambetter ambetter commercial - exchange professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 3 | Anthem anthem - medicare advantage professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 4 | Bcbs Vt bcbs of vermont - medicare advantage professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 5 | Cigna cigna medicare advantage professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 6 | UnitedHealthcare uhc - medicare advantage professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 7 | UnitedHealthcare uhc - va community care network professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 8 | WellCare wellcare - medicare advantage professional · fee schedule · outpatient | $72.32 | $72.32 | $42.17 – $102.46 |
| 9 | Ambetter ambetter commercial - exchange facility · case rate · outpatient | $98.79 | $98.79 | $98.79 – $98.79 |
| 10 | Aetna aetna medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 11 | Anthem anthem - medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 12 | Anthem anthem indiv qhp - exchange facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 13 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 14 | Cigna cigna medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 15 | UnitedHealthcare uhc - medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 16 | UnitedHealthcare uhc - va community care network facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 17 | WellCare wellcare - medicare advantage facility · case rate · outpatient | $111.12 | $111.12 | $111.12 – $111.12 |
| 18 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $117.87 | $117.87 | $117.87 – $117.87 |
| 19 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $148.81 | $148.81 | $148.81 – $148.81 |
| 20 | Anthem anthem - indemnity professional · fee schedule · outpatient | $150.33 | $150.33 | $91.53 – $209.13 |
| 21 | Anthem anthem shop on exch facility · case rate · outpatient | $155.56 | $155.56 | $155.56 – $155.56 |
| 22 | UnitedHealthcare uhc - freedom plan facility · case rate · outpatient | $167.45 | $167.45 | $167.45 – $167.45 |
| 23 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $181.79 | $181.79 | $107.90 – $255.68 |
| 24 | Cigna cigna ppo professional · fee schedule · outpatient | $181.79 | $181.79 | $107.90 – $255.68 |
| 25 | Aetna aetna hmo/pos/ppo facility · fee schedule · outpatient | $221.32 | $221.32 | $221.32 – $221.32 |
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.