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
LAFAYETTE, CO
See all hospitals reporting CPT 70486 →Price type
Good Samaritan Medical Center, Llc Dba’s median price of $1.0k is 215% above the median hospital's median price ($321), higher than 77% 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, 90 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 2 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 3 | UnitedHealthcare united healthcare mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 4 | UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 5 | Kaiser kaiser snp facility · case rate · outpatient | $106.87 | $106.87 | $106.87 – $106.87 |
| 6 | Aetna aetna colorado preferred facility · fee schedule · outpatient | $309.35 | $309.35 | $309.35 – $309.35 |
| 7 | Kaiser kp select hmo facility · percent of total billed charges · outpatientfrom % of charges | $335.49 | $335.49 | $335.49 – $335.49 |
| 8 | Aetna aetna hmo/epo facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 9 | Aetna aetna indemnity facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 10 | Aetna aetna other facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 11 | Aetna aetna pos/qpos facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 12 | Aetna aetna ppo facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 13 | Aetna aetna src facility · fee schedule · outpatient | $336.90 | $336.90 | $336.90 – $336.90 |
| 14 | Kaiser kaiser hmo exchange plan facility · percent of total billed charges · outpatientfrom % of charges | $417.09 | $417.09 | $417.09 – $417.09 |
| 15 | Kaiser kaiser out of state facility · percent of total billed charges · outpatientfrom % of charges | $417.09 | $417.09 | $417.09 – $417.09 |
| 16 | Kaiser kaiser permanente hmo facility · percent of total billed charges · outpatientfrom % of charges | $417.09 | $417.09 | $417.09 – $417.09 |
| 17 | Kaiser kaiser self funded facility · percent of total billed charges · outpatientfrom % of charges | $417.09 | $417.09 | $417.09 – $417.09 |
| 18 | Kaiser kaiser perm ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $423.26 | $423.26 | $423.26 – $423.26 |
| 19 | Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges | $453.36 | $453.36 | $453.36 – $453.36 |
| 20 | Cigna cigna co public option facility · percent of total billed charges · outpatientfrom % of charges | $461.52 | $461.52 | $461.52 – $461.52 |
| 21 | Cigna cigna connect exchange facility · percent of total billed charges · outpatientfrom % of charges | $461.52 | $461.52 | $461.52 – $461.52 |
| 22 | Cigna cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $461.52 | $461.52 | $461.52 – $461.52 |
| 23 | Kaiser kp select hmo facility · percent of total billed charges · inpatientfrom % of charges | $534.97 | $534.97 | $534.97 – $534.97 |
| 24 | Aetna aetna colorado preferred facility · percent of total billed charges · outpatientfrom % of charges | $674.60 | $674.60 | $674.60 – $674.60 |
| 25 | Anthem bcbs co federal facility · percent of total billed charges · outpatientfrom % of charges | $721.57 | $721.57 | $721.57 – $721.57 |
Last updated: Mar 22, 2026
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