CT scan of face and jaw without contrast dye at Christus Health Southeast Texas

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

HC 70486 CT MAXLFCL AREA W/O CONTRAST

Port Arthur, TX

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How this price compares nationally

Christus Health Southeast Texas’s median price of $141 is 56% below the median hospital's median price ($321), higher than 21% 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 Christus Health Southeast Texas

Negotiated rates from the hospital’s own file: 12 payers, 33 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 mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
2	Bcbs Tx mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
3	Humana gold choice mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
4	Molina medicare adv mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
5	UnitedHealthcare mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
6	WellCare mm fee schedule · outpatient	$106.51	$106.51	$106.51 – $106.51
7	UnitedHealthcare chip km fee schedule · outpatient	$114.46	$114.46	$114.46 – $114.46
8	UnitedHealthcare star kid km fee schedule · outpatient	$114.46	$114.46	$114.46 – $114.46
9	UnitedHealthcare star km fee schedule · outpatient	$114.46	$114.46	$114.46 – $114.46
10	UnitedHealthcare star plus km fee schedule · outpatient	$114.46	$114.46	$114.46 – $114.46
11	Devoted mm fee schedule · outpatient	$115.03	$115.03	$115.03 – $115.03
12	Molina chip km fee schedule · outpatient	$141.40	$141.40	$141.40 – $141.40
13	Molina star km fee schedule · outpatient	$141.40	$141.40	$141.40 – $141.40
14	Molina star plus km fee schedule · outpatient	$141.40	$141.40	$141.40 – $141.40
15	UnitedHealthcare hix fee schedule · outpatient	$425.00	$425.00	$425.00 – $425.00
16	Bcbs Tx blue advantage hmo fee schedule · outpatient	$512.21	$512.21	$512.21 – $512.21
17	Bcbs Tx heb fee schedule · outpatient	$573.85	$573.85	$573.85 – $573.85
18	Bcbs Tx hmo fee schedule · outpatient	$573.85	$573.85	$573.85 – $573.85
19	Bcbs Tx ppo fee schedule · outpatient	$637.74	$637.74	$637.74 – $637.74
20	Bcbs Tx traditional fee schedule · outpatient	$678.08	$678.08	$678.08 – $678.08
21	Aetna new business per diem · outpatient	$847.00	$847.00	$847.00 – $847.00
22	Cigna new business fee schedule · outpatient	$858.00	$858.00	$858.00 – $858.00
23	First Health ppo percent of total billed charges · outpatientfrom % of charges	$858.00	$858.00	$800.80 – $915.20
24	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$858.00	$858.00	$800.80 – $915.20
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$858.00	$858.00	$800.80 – $915.20

Page 1 of 2 · 33 rates

Last updated: Jan 13, 2026

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