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
Syracuse, NY
See all hospitals reporting CPT 70486 →Price type
Crouse Hospital’s median price of $234 is 27% below the median hospital's median price ($321), higher than 41% 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: 6 payers, 18 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 | Excellus medicare advantage fee schedule · outpatient | $113.97 | $113.97 | $113.97 – $113.97 |
| 2 | Aetna medicare fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 3 | Humana medicare advantage fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 4 | UnitedHealthcare medicare fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $137.03 | $137.03 | $137.03 – $137.03 |
| 6 | Aetna commerical fee schedule · outpatient | $218.40 | $218.40 | $218.40 – $218.40 |
| 7 | Aetna raymour furniture company fee schedule · outpatient | $218.40 | $218.40 | $218.40 – $218.40 |
| 8 | Excellus bcbs fee schedule · outpatient | $234.37 | $234.37 | $234.37 – $234.37 |
| 9 | Excellus hospital blue fee schedule · outpatient | $234.37 | $234.37 | $234.37 – $234.37 |
| 10 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $260.41 | $260.41 | $260.41 – $260.41 |
| 11 | Excellus govt programs/ special products fee schedule · outpatient | $262.99 | $262.99 | $262.99 – $262.99 |
| 12 | Molina medicaid hmo fee schedule · outpatient | $262.99 | $262.99 | $262.99 – $262.99 |
| 13 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $262.99 | $262.99 | $262.99 – $262.99 |
| 14 | UnitedHealthcare medicaid fee schedule · outpatient | $262.99 | $262.99 | $262.99 – $262.99 |
| 15 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $262.99 | $262.99 | $262.99 – $262.99 |
| 16 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $315.59 | $315.59 | $315.59 – $315.59 |
| 17 | Molina essential fee schedule · outpatient | $591.72 | $591.72 | $591.72 – $591.72 |
| 18 | UnitedHealthcare commerical fee schedule · outpatient | $1,837 | $1,837 | $1,837 – $1,837 |
Last updated: May 19, 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.