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
Grand Rapids, MN
See all hospitals reporting CPT 70486 →Price type
Grand Itasca Clinic and Hospital’s median price of $125 is 61% below the median hospital's median price ($321), higher than 15% 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, 51 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 professional · fee schedule · both | $66.20 | $66.20 | $30.57 – $101.82 |
| 2 | Medica accessability professional · fee schedule · both | $70.66 | $66.87 | $29.52 – $100.44 |
| 3 | Medica managed medicaid professional · fee schedule · both | $70.66 | $66.87 | $29.52 – $100.44 |
| 4 | Medica medicare advantage non-snp professional · fee schedule · both | $70.66 | $66.87 | $29.52 – $100.44 |
| 5 | Bcbs Mn pmap professional · fee schedule · both | $75.61 | $71.56 | $31.59 – $107.47 |
| 6 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 7 | Sanford Health Plan medicare advantage professional · fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $87.53 | $83.60 | $37.87 – $125.41 |
| 10 | Bcbs Mn medicare advantage professional · fee schedule · both | $91.03 | $86.95 | $39.38 – $130.43 |
| 11 | Ucare medicare advantage/msho professional · fee schedule · both | $91.91 | $87.78 | $39.76 – $131.68 |
| 12 | Ucare pmap facility · other · inpatient | $96.28 | $96.28 | $96.28 – $96.28 |
| 13 | Sanford Health Plan commercial professional · percent of total billed charges · bothfrom % of charges | $102.49 | $102.49 | $102.49 – $102.49 |
| 14 | Medica medicare advantage non-snp facility · other · inpatient | $104.36 | $104.36 | $104.36 – $104.36 |
| 15 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 16 | Ucare medicare advantage/msho facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 17 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 18 | WellCare medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 19 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $111.29 | $111.29 | $111.29 – $111.29 |
| 20 | Ucare individual and family plans facility · other · inpatient | $111.77 | $111.77 | $111.77 – $111.77 |
| 21 | Ucare medicare advantage/msho facility · other · inpatient | $111.77 | $111.77 | $111.77 – $111.77 |
| 22 | Medica medicare advantage non-snp facility · fee schedule · outpatient | $113.43 | $113.43 | $113.43 – $113.43 |
| 23 | Ucare pmap facility · fee schedule · outpatient | $115.03 | $115.03 | $115.03 – $115.03 |
| 24 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $142.68 | $142.68 | $142.68 – $142.68 |
| 25 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $147.90 | $147.90 | $147.90 – $147.90 |
Last updated: Jan 28, 2026
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