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
HCHG 70486 CT MAXILLA W/O IV CONT
West Union, IA
See all hospitals reporting CPT 70486 →Price type
Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $674 is 110% above the median hospital's median price ($321), higher than 67% 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: 7 payers, 16 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 | Molina managed medicaid facility · other · outpatient | $47.05 | $47.05 | $47.05 – $47.05 |
| 2 | Wellmark hmo facility · case rate · outpatient | $244.94 | $244.94 | $244.94 – $244.94 |
| 3 | Wellmark indemnity/ppo facility · case rate · outpatient | $268.95 | $268.95 | $268.95 – $268.95 |
| 4 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $643.31 | $643.31 | $643.31 – $643.31 |
| 5 | Wellmark all products facility · percent of total billed charges · outpatientfrom % of charges | $661.47 | $661.47 | $661.47 – $661.47 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $674.44 | $674.44 | $674.44 – $674.44 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $674.44 | $674.44 | $674.44 – $674.44 |
| 8 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $674.44 | $674.44 | $674.44 – $674.44 |
| 9 | Wellmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $674.44 | $674.44 | $674.44 – $674.44 |
| 10 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $713.35 | $713.35 | $713.35 – $713.35 |
| 11 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $713.35 | $713.35 | $713.35 – $713.35 |
| 12 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $713.35 | $713.35 | $713.35 – $713.35 |
| 13 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 14 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,064 | $1,064 | $1,064 – $1,064 |
| 15 | MultiPlan healtheos plus facility · percent of total billed charges · outpatientfrom % of charges | $1,141 | $1,141 | $1,141 – $1,141 |
| 16 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $1,206 | $1,206 | $1,206 – $1,206 |
Last updated: Jun 27, 2026
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