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 scan of face
Grove, MN
See all hospitals reporting CPT 70486 →Price type
Maple Grove Hospital Corporation’s median price of $191 is 40% below the median hospital's median price ($321), higher than 33% 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: 10 payers, 22 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 | Blue Cross Blue Shield mgh bcbs pmap facility · fee schedule · both | $84.67 | $84.67 | $84.67 – $84.67 |
| 2 | Blue Cross Blue Shield mgh bcbs msho facility · other · both | $107.57 | $107.57 | $107.57 – $107.57 |
| 3 | Humana mgh humana med adv facility · other · both | $107.57 | $107.57 | $107.57 – $107.57 |
| 4 | Medicare mgh medicare facility · other · both | $107.57 | $107.57 | $107.57 – $107.57 |
| 5 | Ucare mgh ucare pmap facility · other · both | $107.57 | $107.57 | $107.57 – $107.57 |
| 6 | Medica mgh medica med adv facility · other · both | $108.65 | $108.65 | $108.65 – $108.65 |
| 7 | Blue Cross Blue Shield mgh bcbs med adv facility · other · both | $110.80 | $110.80 | $110.80 – $110.80 |
| 8 | Ucare mgh ucare med adv facility · other · both | $110.80 | $110.80 | $110.80 – $110.80 |
| 9 | Ucare mgh ucare msho facility · other · both | $110.80 | $110.80 | $110.80 – $110.80 |
| 10 | UnitedHealthcare mgh uhc med adv facility · other · both | $111.88 | $111.88 | $111.88 – $111.88 |
| 11 | Aetna mgh allina health aetna medicare facility · other · both | $116.87 | $116.87 | $116.87 – $116.87 |
| 12 | Blue Cross Blue Shield mgh xr hb bcbs federal facility · fee schedule · both | $191.29 | $191.29 | $191.29 – $191.29 |
| 13 | Blue Cross Blue Shield mgh xr hb bcbs aware facility · fee schedule · both | $194.73 | $194.73 | $194.73 – $194.73 |
| 14 | Ucare mgh ucare ifb facility · other · both | $196.73 | $196.73 | $196.73 – $196.73 |
| 15 | Cigna mgh hp cigna facility · fee schedule · both | $202.81 | $202.81 | $202.81 – $202.81 |
| 16 | Medica medica choice care facility · per diem · both | $618.00 | $618.00 | $618.00 – $618.00 |
| 17 | Medica mgh medica msho facility · per diem · both | $715.40 | $715.40 | $715.40 – $715.40 |
| 18 | Phcs phcs reimbursement contract facility · percent of total billed charges · bothfrom % of charges | $804.00 | $804.00 | $804.00 – $804.00 |
| 19 | MultiPlan multiplan reimbursement contract facility · percent of total billed charges · bothfrom % of charges | $857.60 | $857.60 | $857.60 – $857.60 |
| 20 | Medica medica acclaim facility · per diem · both | $1,299 | $1,299 | $1,299 – $1,299 |
| 21 | Medica medica fv nm - aco vantage facility · per diem · both | $1,334 | $1,334 | $1,334 – $1,334 |
| 22 | Medica medica commercial (with wh) facility · per diem · both | $1,432 | $1,432 | $1,432 – $1,432 |
Last updated: Sep 25, 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.