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 MAXILLOFACIALW/O DYE
3000 32nd Ave S Fargo, ND
See all hospitals reporting CPT 70486 →Price type
Essentia Health Fargo’s median price of $817 is 155% above the median hospital's median price ($321), higher than 73% 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: 8 payers, 31 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 | Blue Cross Blue Shield medicare facility · case rate · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 2 | Healthpartners medicare facility · case rate · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 3 | Medica medicare facility · case rate · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 4 | Ucare medicare facility · case rate · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 5 | UnitedHealthcare medicare facility · case rate · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 6 | Sanford Health Plan commercia-ndpers facility · case rate · outpatient | $188.31 | $188.31 | $188.31 – $188.31 |
| 7 | Sanford Health Plan commercial facility · case rate · outpatient | $188.31 | $188.31 | $188.31 – $188.31 |
| 8 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $251.22 | $251.22 | $251.22 – $251.22 |
| 9 | Blue Cross Blue Shield medicaid facility · fee schedule · outpatient | $251.22 | $251.22 | $251.22 – $251.22 |
| 10 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $510.81 | $510.81 | $510.81 – $510.81 |
| 11 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $741.43 | $741.43 | $741.43 – $741.43 |
| 12 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $817.48 | $817.48 | $817.48 – $817.48 |
| 13 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $817.48 | $817.48 | $817.48 – $817.48 |
| 14 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $857.70 | $857.70 | $857.70 – $857.70 |
| 15 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $860.56 | $860.56 | $860.56 – $860.56 |
| 16 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $860.56 | $860.56 | $860.56 – $860.56 |
| 17 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $938.71 | $938.71 | $857.70 – $1,020 |
| 18 | Blue Cross Blue Shield bcbs nd facility · percent of total billed charges · outpatientfrom % of charges | $1,020 | $1,020 | $1,020 – $1,020 |
| 19 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $1,056 | $1,056 | $1,056 – $1,056 |
| 20 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,081 | $1,081 | $1,081 – $1,081 |
| 21 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,132 | $1,132 | $1,056 – $1,208 |
| 22 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $1,174 | $1,174 | $1,174 – $1,174 |
| 23 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $1,174 | $1,174 | $1,174 – $1,174 |
| 24 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,254 | $1,254 | $1,254 – $1,254 |
| 25 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,254 | $1,254 | $1,254 – $1,254 |
Last updated: Jan 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.