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 Scan Maxillofacial W/O Contrast
Lowell, MA
See all hospitals reporting CPT 70486 →Price type
Lowell General Hospital’s median price of $643 is 100% 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: 9 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 | Aetna hb xr aetna hmo ppo lgh fee schedule · both | $104.01 | $104.01 | $104.01 – $104.01 |
| 2 | UnitedHealthcare hb xr hphc self insured referral hmo pos ppo lgh fee schedule · both | $112.49 | $112.49 | $112.49 – $112.49 |
| 3 | Blue Cross Blue Shield hb xr bcbsma hmo lgh fee schedule · both | $205.21 | $205.21 | $205.21 – $205.21 |
| 4 | Blue Cross Blue Shield hb xr bcbsma ppo ppa lgh fee schedule · both | $205.21 | $205.21 | $205.21 – $205.21 |
| 5 | Cigna hb xr thp ppo lgh fee schedule · both | $441.66 | $441.66 | $441.66 – $441.66 |
| 6 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $479.85 | $479.85 | $479.85 – $479.85 |
| 7 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $479.85 | $479.85 | $479.85 – $479.85 |
| 8 | Cigna hb xr cigna lgh percent of total billed charges · bothfrom % of charges | $685.50 | $685.50 | $685.50 – $685.50 |
| 9 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $1,141 | $1,141 | $1,141 – $1,141 |
| 10 | Aetna hb xr aetna medicare lgh other · both | $1,371 | $1,371 | $1,371 – $1,371 |
| 11 | Blue Cross Blue Shield hb xr bcbsma medicare advantage lgh other · both | $1,371 | $1,371 | $1,371 – $1,371 |
| 12 | Medicaid hb xr masshealth 100% lgh other · both | $1,371 | $1,371 | $1,371 – $1,371 |
| 13 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $1,371 | $1,371 | $1,371 – $1,371 |
| 14 | Medicare xr hb medicare lgh other · both | $1,371 | $1,371 | $1,371 – $1,371 |
| 15 | UnitedHealthcare hb xr uhc medicare adv lgh other · both | $1,371 | $1,371 | $1,371 – $1,371 |
| 16 | UnitedHealthcare hb xr uhc lgh per diem · both | $1,841 | $1,841 | $1,841 – $1,841 |
Last updated: Apr 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.