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
Canton, OH
See all hospitals reporting CPT 70486 →Price type
Cleveland Clinic Mercy Hospital’s median price of $154 is 52% below the median hospital's median price ($321), higher than 24% 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, 41 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 asa_whirlpool_peia facility · other · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 2 | Aetna all products professional · other · outpatient | $1.65 | $1.65 | $1.65 – $1.65 |
| 3 | Aetna medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 4 | Anthem medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 5 | Cigna medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 6 | Humana medicare advantage hmo professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 11 | Anthem medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 12 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 13 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $112.87 | $112.87 | $54.60 – $171.13 |
| 14 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $118.49 | $118.49 | $118.49 – $118.49 |
| 15 | Caresource managed medicaid professional · fee schedule · outpatient | $122.04 | $122.04 | $122.04 – $122.04 |
| 16 | Molina managed medicaid professional · fee schedule · outpatient | $130.34 | $130.34 | $130.34 – $130.34 |
| 17 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $149.76 | $149.76 | $149.76 – $149.76 |
| 18 | Caresource managed medicaid facility · case rate · outpatient | $154.25 | $154.25 | $154.25 – $154.25 |
| 19 | Anthem managed medicaid facility · case rate · outpatient | $157.25 | $157.25 | $157.25 – $157.25 |
| 20 | Molina managed medicaid facility · case rate · outpatient | $157.25 | $157.25 | $157.25 – $157.25 |
| 21 | UnitedHealthcare hmo & ppo professional · fee schedule · outpatient | $158.85 | $158.85 | $76.97 – $240.73 |
| 22 | UnitedHealthcare all products - mid-level professional · fee schedule · outpatient | $158.99 | $176.03 | $69.27 – $316.86 |
| 23 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $188.29 | $188.29 | $95.03 – $281.54 |
| 24 | UnitedHealthcare all products professional · fee schedule · outpatient | $176.04 | $194.33 | $76.97 – $348.27 |
| 25 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $207.58 | $207.58 | $207.58 – $207.58 |
Last updated: Jun 15, 2026
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