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 dye
Holyoke, MA
See all hospitals reporting CPT 70486 →Price type
Holyoke Medical Center’s median price of $40 is 88% below the median hospital's median price ($321), higher than 0% 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: 9 payers, 32 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 | UnitedHealthcare uhc complete care professional · fee schedule · both | $26.05 | $26.05 | $26.05 – $26.05 |
| 2 | UnitedHealthcare verizon professional · fee schedule · both | $26.74 | $26.74 | $26.05 – $27.43 |
| 3 | UnitedHealthcare aarp medicare advantage professional · fee schedule · both | $27.43 | $31.29 | $26.05 – $39.18 |
| 4 | Aetna aetna choice pos ii net 00339 professional · fee schedule · both | $31.98 | $31.98 | $31.98 – $31.98 |
| 5 | UnitedHealthcare ma dual h2226-003-000 professional · fee schedule · both | $32.83 | $32.83 | $26.58 – $39.07 |
| 6 | Aetna ppo - medicare (aetna) professional · fee schedule · both | $31.57 | $33.89 | $30.94 – $39.17 |
| 7 | Aetna aetna healthfund aetna choice pos ii net 00339 professional · fee schedule · both | $35.77 | $35.77 | $31.57 – $39.97 |
| 8 | Humana medicare advantage ppo professional · fee schedule · both | $37.21 | $37.21 | $37.21 – $37.21 |
| 9 | Optum all plans professional · fee schedule · both | $38.97 | $38.97 | $37.97 – $39.97 |
| 10 | Aetna direct access pos - medicare (aetna) professional · fee schedule · both | $39.17 | $39.17 | $39.17 – $39.17 |
| 11 | UnitedHealthcare fl unitedhealthcare dual complete hmopos hide h250 professional · fee schedule · both | $39.17 | $39.17 | $39.17 – $39.17 |
| 12 | UnitedHealthcare ma mmp one care - h9239-001 professional · fee schedule · both | $40.10 | $40.10 | $39.07 – $41.13 |
| 13 | UnitedHealthcare ma dual h2226-001-000 professional · fee schedule · both | $41.13 | $41.13 | $41.13 – $41.13 |
| 14 | Blue Cross Blue Shield all plans professional · fee schedule · both | $40.25 | $43.14 | $37.36 – $51.45 |
| 15 | UnitedHealthcare choyc+ professional · fee schedule · both | $59.08 | $60.79 | $45.78 – $77.52 |
| 16 | Medicaid medicaid facility · fee schedule · outpatient | $99.24 | $99.24 | $99.24 – $99.24 |
| 17 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 18 | Blue Cross Blue Shield blue cross blue shield medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 19 | Medicare medicare facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 20 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 21 | UnitedHealthcare uhc evercare (sco) facility · fee schedule · outpatient | $129.45 | $129.45 | $129.45 – $129.45 |
| 22 | Aetna aetna commercial facility · other · outpatient | $133.52 | $133.52 | $133.52 – $133.52 |
| 23 | UnitedHealthcare uhc harvard pilgrim facility · other · outpatient | $171.02 | $171.02 | $171.02 – $171.02 |
| 24 | Cigna cigna commercial facility · fee schedule · outpatient | $189.62 | $189.62 | $189.62 – $189.62 |
| 25 | Blue Cross Blue Shield blue cross blue shield hmo facility · fee schedule · outpatient | $218.08 | $218.08 | $218.08 – $218.08 |
Last updated: May 1, 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.