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
Minneapolis, MN
See all hospitals reporting CPT 70486 →Price type
Fairview Health Services’s median price of $112 is 65% below the median hospital's median price ($321), higher than 10% 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: 12 payers, 81 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 government transplant fee schedule · both | $28.32 | $45.60 | $28.32 – $94.32 |
| 2 | Ucare pmap fee schedule · both | $28.32 | $45.60 | $28.32 – $94.32 |
| 3 | Medica managed medicaid/accessability fee schedule · both | $29.52 | $48.20 | $29.52 – $100.44 |
| 4 | Bcbs Mn pmap fee schedule · both | $31.59 | $51.57 | $31.59 – $107.47 |
| 5 | Sanford Health Plan medicare advantage fee schedule · both | $37.87 | $60.74 | $37.87 – $125.41 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $37.87 | $60.74 | $37.87 – $125.41 |
| 7 | WellCare medicare advantage fee schedule · both | $37.87 | $60.74 | $37.87 – $125.41 |
| 8 | Bcbs Mn medicare advantage fee schedule · both | $39.38 | $63.16 | $39.38 – $130.43 |
| 9 | Medica medicare advantage non-snp fee schedule · both | $40.68 | $65.33 | $40.68 – $134.98 |
| 10 | Optum medicaid transplant fee schedule · both | $40.90 | $65.60 | $40.90 – $135.44 |
| 11 | Optum medicare transplant fee schedule · both | $40.90 | $65.60 | $40.90 – $135.44 |
| 12 | Ucare medicare advantage/msho fee schedule · both | $40.90 | $65.60 | $40.90 – $135.44 |
| 13 | Medica msho/medicare advantage snp fee schedule · both | $41.45 | $66.57 | $41.45 – $137.53 |
| 14 | Cigna lifesource transplant percent of total billed charges · bothfrom % of charges | $79.62 | $70.47 | $40.88 – $81.76 |
| 15 | Sanford Health Plan commercial percent of total billed charges · bothfrom % of charges | $83.74 | $74.12 | $43.00 – $85.99 |
| 16 | Humana transplant percent of total billed charges · bothfrom % of charges | $92.41 | $81.79 | $47.45 – $94.90 |
| 17 | Optum commercial transplant percent of total billed charges · bothfrom % of charges | $92.41 | $81.79 | $47.45 – $94.90 |
| 18 | Aetna transplant other · inpatient | $84.34 | $84.34 | $84.34 – $84.34 |
| 19 | Aetna transplant percent of total billed charges · bothfrom % of charges | $96.68 | $85.57 | $49.64 – $99.28 |
| 20 | First Health commercial percent of total billed charges · bothfrom % of charges | $116.58 | $103.19 | $59.86 – $119.72 |
| 21 | Ucare pmap other · inpatient | $105.79 | $105.79 | $105.79 – $105.79 |
| 22 | Optum medicaid transplant fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 23 | Sanford Health Plan medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 24 | UnitedHealthcare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 25 | WellCare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
Last updated: Feb 6, 2026
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