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
CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL
Princeton, IN
See all hospitals reporting CPT 70486 →Price type
Deaconess Health System Gibson General Hospital’s median price of $153 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, 46 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 | Bcbs Il managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 4 | Ambetter commercial professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 6 | Bcbs Il medicare advantage professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 8 | WellCare dual medicare/medicaid professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $117.75 | $94.20 | $37.67 – $117.75 |
| 10 | Anthem managed medicaid professional · fee schedule · both | $120.40 | $96.32 | $37.83 – $120.40 |
| 11 | Caresource managed medicaid professional · fee schedule · both | $120.40 | $96.32 | $37.83 – $120.40 |
| 12 | UnitedHealthcare managed medicaid professional · fee schedule · both | $120.40 | $96.32 | $37.83 – $120.40 |
| 13 | UnitedHealthcare commercial professional · fee schedule · both | $130.44 | $104.35 | $41.95 – $130.44 |
| 14 | Caresource commercial professional · fee schedule · both | $117.75 | $108.33 | $37.67 – $153.08 |
| 15 | Anthem commercial professional · fee schedule · both | $168.22 | $160.53 | $37.67 – $242.12 |
| 16 | Aetna commercial professional · fee schedule · both | $410.32 | $328.26 | $128.91 – $410.32 |
| 17 | Cigna commercial professional · fee schedule · both | $410.32 | $328.26 | $128.91 – $410.32 |
| 18 | First Health commercial professional · fee schedule · both | $410.32 | $328.26 | $128.91 – $410.32 |
| 19 | Anthem managed medicaid facility · other · inpatient | $406.42 | $406.42 | $406.42 – $406.42 |
| 20 | Anthem managed medicaid facility · other · outpatient | $406.42 | $406.42 | $406.42 – $406.42 |
| 21 | Caresource managed medicaid facility · other · inpatient | $406.42 | $406.42 | $406.42 – $406.42 |
| 22 | Caresource managed medicaid facility · other · outpatient | $406.42 | $406.42 | $406.42 – $406.42 |
| 23 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $423.75 | $423.75 | $423.75 – $423.75 |
| 24 | Anthem commercial facility · other · inpatient | $463.42 | $463.42 | $313.58 – $613.25 |
| 25 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $542.40 | $542.40 | $542.40 – $542.40 |
Last updated: Feb 11, 2026
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