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
CTA HEAD BRAIN W 3D
Clemmons, NC
See all hospitals reporting CPT 70496 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $635 is 22% above the median hospital's median price ($519), higher than 55% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 28 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 blue medicare fee schedule · outpatient | $170.11 | $170.11 | $170.11 – $170.11 |
| 2 | Humana medicare fee schedule · outpatient | $170.11 | $170.11 | $170.11 – $170.11 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $170.11 | $170.11 | $170.11 – $170.11 |
| 4 | Aetna medicare fee schedule · outpatient | $174.36 | $174.36 | $174.36 – $174.36 |
| 5 | Cigna healthspring fee schedule · outpatient | $175.21 | $175.21 | $175.21 – $175.21 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $539.41 | $539.41 | $539.41 – $539.41 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $539.41 | $539.41 | $539.41 – $539.41 |
| 8 | WellCare medicaid fee schedule · outpatient | $539.41 | $539.41 | $539.41 – $539.41 |
| 9 | Cigna aca fee schedule · outpatient | $1,102 | $1,102 | $1,102 – $1,102 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $1,139 | $1,139 | $1,139 – $1,139 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $1,487 | $1,487 | $1,487 – $1,487 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $1,538 | $1,538 | $1,538 – $1,538 |
| 13 | Cigna commercial fee schedule · outpatient | $1,692 | $1,692 | $1,692 – $1,692 |
| 14 | Aetna commercial fee schedule · outpatient | $1,754 | $1,754 | $1,754 – $1,754 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $1,917 | $1,917 | $1,917 – $1,917 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,957 | $1,957 | $1,957 – $1,957 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,957 | $1,957 | $1,957 – $1,957 |
| 18 | Humana commercial fee schedule · outpatient | $2,219 | $2,219 | $2,219 – $2,219 |
| 19 | Aetna aca fee schedule · outpatient | $2,278 | $2,278 | $2,278 – $2,278 |
| 20 | Aetna first health fee schedule · outpatient | $2,278 | $2,278 | $2,278 – $2,278 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $2,278 | $2,278 | $2,278 – $2,278 |
| 22 | Aetna rental network products fee schedule · outpatient | $2,278 | $2,278 | $2,278 – $2,278 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $2,278 | $2,278 | $2,278 – $2,278 |
| 24 | Medcost mbs fee schedule · outpatient | $2,421 | $2,421 | $2,421 – $2,421 |
| 25 | Beechstreet commercial fee schedule · outpatient | $2,563 | $2,563 | $2,563 – $2,563 |
Last updated: Mar 30, 2026
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