CT scan of face and jaw without contrast dye at Johnson Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT Maxillofacial W/O Contrast

Stafford Springs, CT

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How this price compares nationally

Johnson Memorial Hospital’s median price of $456 is 42% above the median hospital's median price ($321), higher than 58% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Johnson Memorial Hospital

Negotiated rates from the hospital’s own file: 16 payers, 24 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 aetna medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
2	Anthem anthem mediblue medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
3	UnitedHealthcare united healthcare medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
4	WellCare wellcare medicare advantage facility · other · both	$125.33	$125.33	$125.33 – $125.33
5	Cigna cigna medicare advantage facility · other · both	$126.51	$126.51	$126.51 – $126.51
6	UnitedHealthcare united healthcare facility · fee schedule · both	$179.33	$179.33	$179.33 – $179.33
7	Aetna aetna whole health facility · fee schedule · both	$238.43	$238.43	$238.43 – $238.43
8	Aetna aetna facility · fee schedule · both	$298.51	$298.51	$298.51 – $298.51
9	Anthem anthem individual pathway hmo ppo facility · fee schedule · both	$353.32	$353.32	$353.32 – $353.32
10	Cigna cigna facility · fee schedule · both	$391.08	$391.08	$391.08 – $391.08
11	Anthem anthem bluecare prime facility · fee schedule · both	$410.31	$410.31	$410.31 – $410.31
12	Anthem anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
13	Blue Cross Blue Shield anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
14	Carefirst anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
15	Excellus anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
16	Highmark anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
17	Kaiser anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
18	Premera anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
19	Regence anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
20	Wellmark anthem facility · fee schedule · both	$455.90	$455.90	$455.90 – $455.90
21	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$949.26	$949.26	$949.26 – $949.26
22	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1,010	$1,010	$1,010 – $1,010
23	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1,010	$1,010	$1,010 – $1,010
24	Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges	$1,217	$1,217	$1,217 – $1,217

Last updated: Mar 31, 2026

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