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
Mount Vernon, IL
See all hospitals reporting CPT 70486 →Price type
Deaconess Illinois Crossroads Inc’s median price of $117 is 63% below the median hospital's median price ($321), higher than 13% 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: 10 payers, 43 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 Better Health managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 3 | Molina managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $84.62 | $67.70 | $42.31 – $84.62 |
| 5 | Aetna medicare advantage facility · other · inpatient | $68.56 | $68.56 | $68.56 – $68.56 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 7 | Aetna Better Health medicare mmp professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 8 | Bcbs Il medicare advantage professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 9 | Humana dual medicare/medicaid professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 10 | Humana medicare advantage professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 11 | Molina dual medicare/medicaid professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 13 | WellCare dual medicare/medicaid professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $117.46 | $93.97 | $37.95 – $117.46 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $117.46 | $101.16 | $37.95 – $135.43 |
| 16 | Aetna medicare advantage facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 17 | Bcbs Il medicare advantage facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 18 | Humana dual medicare/medicaid facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 20 | UnitedHealthcare commercial facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 22 | WellCare dual medicare/medicaid facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 23 | WellCare medicare advantage facility · case rate · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 24 | Molina dual medicare/medicaid facility · case rate · outpatient | $111.96 | $111.96 | $111.96 – $111.96 |
| 25 | Aetna Better Health medicare mmp facility · case rate · outpatient | $113.07 | $113.07 | $113.07 – $113.07 |
Last updated: Feb 3, 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.