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
Delta, UT
See all hospitals reporting CPT 70486 →Price type
IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital’s median price of $1.6k is 392% above the median hospital's median price ($321), higher than 89% 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: 6 payers, 55 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 | Aetna medicare adv hmo professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 3 | Humana medicare choice ppo professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 4 | Molina medicaid professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 5 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 6 | Regence medadvantage ppo professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $63.46 | $63.46 | $40.02 – $86.90 |
| 8 | Aetna connected facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 9 | Aetna standard facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 10 | Cigna hmo facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 11 | Cigna ppo/epo facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 12 | Regence blueoption facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 13 | UnitedHealthcare charter ut facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 14 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 15 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $533.00 | $533.00 | $533.00 – $533.00 |
| 16 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 17 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 18 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 19 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 20 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 21 | Regence medadvantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 22 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $594.03 | $594.03 | $594.03 – $594.03 |
| 23 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,652 | $1,652 | $1,652 – $1,652 |
| 24 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $1,764 | $1,764 | $1,764 – $1,764 |
| 25 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $1,764 | $1,764 | $1,764 – $1,764 |
Last updated: Jul 28, 2026
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