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
Elizabethtown, NY
See all hospitals reporting CPT 70486 →Price type
Elizabethtown Community Hospital’s median price of $189 is 41% below the median hospital's median price ($321), higher than 33% 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: 7 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $84.54 | $84.54 | $84.54 – $84.54 |
| 2 | Humana tricare facility · fee schedule · outpatient | $101.02 | $101.02 | $101.02 – $101.02 |
| 3 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $107.10 | $107.10 | $107.10 – $107.10 |
| 4 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid professional · fee schedule · both | $108.69 | $108.69 | $108.69 – $108.69 |
| 5 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $108.69 | $108.69 | $108.69 – $108.69 |
| 6 | Humana tricare professional · fee schedule · both | $114.73 | $114.73 | $114.73 – $114.73 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $120.77 | $120.77 | $120.77 – $120.77 |
| 8 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $120.77 | $120.77 | $120.77 – $120.77 |
| 9 | Excellus medicare advantage professional · fee schedule · both | $120.77 | $120.77 | $120.77 – $120.77 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $120.77 | $120.77 | $120.77 – $120.77 |
| 11 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $143.16 | $143.16 | $131.55 – $154.77 |
| 12 | Blue Cross Blue Shield blue access professional · fee schedule · both | $147.50 | $147.50 | $147.50 – $147.50 |
| 13 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind professional · fee schedule · both | $147.50 | $147.50 | $147.50 – $147.50 |
| 14 | Highmark ind/fep/ppo/hmo professional · fee schedule · both | $152.44 | $152.44 | $152.44 – $152.44 |
| 15 | Excellus commercial professional · fee schedule · both | $185.18 | $185.18 | $185.18 – $185.18 |
| 16 | Blue Cross Blue Shield individual network professional · fee schedule · both | $193.23 | $193.23 | $193.23 – $193.23 |
| 17 | Aetna commercial professional · fee schedule · both | $193.90 | $193.90 | $193.90 – $193.90 |
| 18 | Excellus managed medicaid/essential plans professional · fee schedule · both | $251.55 | $251.55 | $251.55 – $251.55 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $299.52 | $299.52 | $299.52 – $299.52 |
| 20 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 21 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 22 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 23 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 24 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $944.80 | $944.80 | $944.80 – $944.80 |
| 25 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $1,394 | $1,394 | $1,394 – $1,394 |
Last updated: Apr 28, 2026
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