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 Maxillofacial w/o Contrast
Norwalk, OH
See all hospitals reporting CPT 70486 →Price type
Fisher-Titus Medical Center’s median price of $803 is 151% above the median hospital's median price ($321), higher than 72% 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, 39 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 | Optum vaccnoptum professional · fee schedule · outpatient | $58.79 | $58.79 | $38.26 – $79.31 |
| 2 | Aetna aetnamedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 3 | Anthem anthemmedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 4 | Caresource caresourcemedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 5 | Medical Mutual mmomedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 6 | Optum vaccnoptum facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 7 | UnitedHealthcare unitedmedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 8 | WellCare wellcaremedicare facility · case rate · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 9 | UnitedHealthcare unitedexchange facility · case rate · outpatient | $101.75 | $101.75 | $101.75 – $101.75 |
| 10 | Anthem anthemmedicaid facility · case rate · outpatient | $113.15 | $113.15 | $113.15 – $113.15 |
| 11 | Caresource caresourcemedicaid facility · case rate · outpatient | $113.15 | $113.15 | $113.15 – $113.15 |
| 12 | Molina molinamedicaid facility · case rate · outpatient | $116.55 | $116.55 | $116.55 – $116.55 |
| 13 | UnitedHealthcare unitedmedicaid facility · case rate · outpatient | $116.55 | $116.55 | $116.55 – $116.55 |
| 14 | Aetna aetnamedicare facility · percent of total billed charges · inpatientfrom % of charges | $450.00 | $450.00 | $450.00 – $450.00 |
| 15 | Aetna aetnamedicare facility · percent of total billed charges · outpatientfrom % of charges | $450.00 | $450.00 | $450.00 – $450.00 |
| 16 | Medical Mutual mmonorthernohio facility · percent of total billed charges · outpatientfrom % of charges | $591.00 | $591.00 | $591.00 – $591.00 |
| 17 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · outpatientfrom % of charges | $735.00 | $735.00 | $735.00 – $735.00 |
| 18 | Medical Mutual mmonorthernohio facility · percent of total billed charges · inpatientfrom % of charges | $871.50 | $871.50 | $871.50 – $871.50 |
| 19 | Tricare tricare east facility · percent of total billed charges · outpatientfrom % of charges | $1,125 | $1,125 | $1,125 – $1,125 |
| 20 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · inpatientfrom % of charges | $1,135 | $1,135 | $1,135 – $1,135 |
| 21 | Anthem anthempathwayhmo/hic/tiered facility · fee schedule · outpatient | $1,161 | $1,161 | $1,161 – $1,161 |
| 22 | Cigna cignacommercialhmo facility · percent of total billed charges · inpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 23 | Cigna cignacommercialhmo facility · percent of total billed charges · outpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 24 | Cigna cignacommercialppo facility · percent of total billed charges · inpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 25 | Cigna cignacommercialppo facility · percent of total billed charges · outpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
Last updated: Apr 29, 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.