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 CTA HEAD W/WO CONTRAST
Logan, UT
See all hospitals reporting CPT 70496 →Price type
IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital’s median price of $1.2k is 128% above the median hospital's median price ($519), higher than 74% of the 2,615 hospitals reporting CPT 70496. 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, 54 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 | $124.44 | $124.44 | $82.00 – $166.88 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 3 | Humana medicare choice ppo professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 4 | Molina medicaid professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 5 | Molina medicare advantage professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 6 | Molina medicare choice care hmo professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 7 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 8 | Regence medadvantage ppo professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $124.44 | $124.44 | $82.00 – $166.88 |
| 10 | Molina medicaid facility · case rate · outpatient | $145.04 | $145.04 | $145.04 – $145.04 |
| 11 | Aetna medicare adv hmo facility · case rate · outpatient | $177.57 | $177.57 | $177.57 – $177.57 |
| 12 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $177.57 | $177.57 | $177.57 – $177.57 |
| 13 | Humana medicare choice ppo facility · case rate · outpatient | $186.45 | $186.45 | $186.45 – $186.45 |
| 14 | Regence medadvantage ppo facility · case rate · outpatient | $188.23 | $188.23 | $188.23 – $188.23 |
| 15 | Molina medicare advantage facility · case rate · outpatient | $191.78 | $191.78 | $191.78 – $191.78 |
| 16 | Molina medicare choice care hmo facility · case rate · outpatient | $191.78 | $191.78 | $191.78 – $191.78 |
| 17 | Molina medicare complete care hmo snp facility · case rate · outpatient | $191.78 | $191.78 | $191.78 – $191.78 |
| 18 | Aetna medicare adv ppo facility · case rate · outpatient | $195.33 | $195.33 | $195.33 – $195.33 |
| 19 | Regence blueoption facility · fee schedule · outpatient | $960.00 | $960.00 | $960.00 – $960.00 |
| 20 | UnitedHealthcare charter facility · fee schedule · outpatient | $960.00 | $960.00 | $960.00 – $960.00 |
| 21 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $960.00 | $960.00 | $960.00 – $960.00 |
| 22 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $960.00 | $960.00 | $960.00 – $960.00 |
| 23 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $1,953 | $1,953 | $1,953 – $1,953 |
| 24 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $2,075 | $2,075 | $2,075 – $2,075 |
| 25 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $2,306 | $2,306 | $2,306 – $2,306 |
Last updated: Aug 5, 2026
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