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 MAXILLOFACIAL W/O CONTRAST
Burnsville, MN
See all hospitals reporting CPT 70486 →Price type
Fairview Health Services’s median price of $143 is 55% below the median hospital's median price ($321), higher than 22% 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, 61 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 | Ucare pmap fee schedule · both | $66.01 | $62.88 | $28.32 – $94.32 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $70.66 | $66.87 | $29.52 – $100.44 |
| 3 | Bcbs Mn pmap fee schedule · both | $75.61 | $71.56 | $31.59 – $107.47 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 6 | WellCare medicare advantage fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $91.03 | $86.95 | $39.38 – $130.43 |
| 8 | Medica medicare advantage non-snp fee schedule · both | $94.29 | $89.98 | $40.68 – $134.98 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $94.53 | $90.29 | $40.90 – $135.44 |
| 10 | Medica msho/medicare advantage snp fee schedule · both | $96.07 | $91.68 | $41.45 – $137.53 |
| 11 | Sanford Health Plan medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 13 | WellCare medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 14 | Ucare medicare advantage/msho fee schedule · outpatient | $105.00 | $105.00 | $105.00 – $105.00 |
| 15 | WellCare medicare advantage other · inpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 16 | Bcbs Mn medicare advantage fee schedule · outpatient | $107.59 | $107.59 | $107.59 – $107.59 |
| 17 | Ucare pmap fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 18 | Medica medicare advantage non-snp fee schedule · outpatient | $109.66 | $109.66 | $109.66 – $109.66 |
| 19 | Medica medicare advantage non-snp other · inpatient | $111.00 | $111.00 | $111.00 – $111.00 |
| 20 | UnitedHealthcare medicare advantage other · inpatient | $111.00 | $111.00 | $111.00 – $111.00 |
| 21 | Ucare pmap other · inpatient | $111.70 | $111.70 | $111.70 – $111.70 |
| 22 | Ucare medicare advantage/msho other · inpatient | $112.28 | $112.28 | $112.28 – $112.28 |
| 23 | Medica msho/medicare advantage snp other · inpatient | $114.76 | $114.76 | $114.76 – $114.76 |
| 24 | Bcbs Mn medicare advantage other · inpatient | $115.43 | $115.43 | $115.43 – $115.43 |
| 25 | Medica managed medicaid/accessability other · inpatient | $121.64 | $121.64 | $121.64 – $121.64 |
Last updated: Feb 6, 2026
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