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
Hc Ct Scan,Maxillofacial Area,W/O Contrast
Dallas, TX
See all hospitals reporting CPT 70486 →Price type
Dallas Medical Center’s median price of $109 is 66% below the median hospital's median price ($321), higher than 8% 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, 32 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 fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 2 | Blue Cross Blue Shield bcbs blue essentials medicare-hmo fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 3 | Blue Cross Blue Shield bcbs medicare advantage fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 4 | Blue Cross Blue Shield triwest bcbs fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 5 | Cigna Healthspring cigna healthspring medicare advantage fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 6 | Cigna Healthspring cigna healthspring mmp (dual-eligible) fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 7 | Humana choice care humana medicare advantage fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 8 | Humana humana military tricare fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 9 | Superior Healthplan superior health plan medicare advantage/mmp fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 10 | Tricare tricare fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 11 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 12 | WellCare wellcare medicare advantage fee schedule · outpatient | $104.51 | $104.51 | $104.51 – $104.51 |
| 13 | Superior Healthplan superior health plan chip medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 14 | Superior Healthplan superior health star kids medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 15 | Superior Healthplan superior health star medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 16 | UnitedHealthcare uhc chip medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 17 | UnitedHealthcare uhc medcaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 18 | UnitedHealthcare uhc star kids medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 19 | Cigna Healthspring cigna healthspring medicare advantage ppo fee schedule · outpatient | $107.65 | $107.65 | $107.65 – $107.65 |
| 20 | Molina molina medicare advantage/mmp fee schedule · outpatient | $109.74 | $109.74 | $109.74 – $109.74 |
| 21 | Superior Healthplan superior health plan commercial exchange-epo/hmo fee schedule · outpatient | $135.86 | $135.86 | $135.86 – $135.86 |
| 22 | UnitedHealthcare uhc commercial all payor fee schedule · outpatient | $151.76 | $151.76 | $151.76 – $151.76 |
| 23 | Aetna aetna commercial fee schedule · outpatient | $156.52 | $156.52 | $156.52 – $156.52 |
| 24 | Aetna aetna workers compensation fee schedule · outpatient | $156.52 | $156.52 | $156.52 – $156.52 |
| 25 | Molina molina exchange fee schedule · outpatient | $161.99 | $161.99 | $161.99 – $161.99 |
Last updated: Sep 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.