CT scan of face and jaw without contrast dye at Mayo Clinic Arizona

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

PR CT MAXFAC WO CNTRST

Phoenix, AZ

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How this price compares nationally

Mayo Clinic Arizona’s median price of $773 is 141% above the median hospital's median price ($321), higher than 71% 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 Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 88 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 az bcbs federal retiree [1319] professional · fee schedule · outpatient	$82.06	$82.06	$39.19 – $124.92
2	Optum az veteran affairs optum [1056] professional · fee schedule · outpatient	$82.06	$82.06	$39.19 – $124.92
3	Optum az veteran affairs optum [1051] facility · other · both	$111.56	$111.56	$111.56 – $111.56
4	Humana az tx humana medicare advantage plan [1010] facility · other · both	$128.29	$128.29	$128.29 – $128.29
5	Medica az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$521.06	$521.06	$345.12 – $697.00
6	Optum az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$521.06	$521.06	$345.12 – $697.00
7	UnitedHealthcare az uhc gap exception [1386] professional · percent of total billed charges · outpatientfrom % of charges	$521.06	$521.06	$345.12 – $697.00
8	UnitedHealthcare az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$521.06	$521.06	$345.12 – $697.00
9	Cigna az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
10	Cigna az cigna gap expection [1389] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
11	Healthpartners az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
12	Humana az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
13	Medcost az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
14	Medical Mutual az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
15	Oscar az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$531.30	$531.30	$351.90 – $710.70
16	Aetna az by plan [165] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
17	Aetna az transplant [49] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
18	Anthem az bcbs blue card [1018] professional · fee schedule · outpatient	$577.50	$577.50	$382.50 – $772.50
19	Blue Cross Blue Shield az bcbs [187] professional · fee schedule · outpatient	$577.50	$577.50	$382.50 – $772.50
20	Blue Cross Blue Shield az bcbs blue card [1018] professional · fee schedule · outpatient	$577.50	$577.50	$382.50 – $772.50
21	Blue Cross Blue Shield az cc complex care [771] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
22	Blue Cross Blue Shield az tx bcbs [876] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
23	Cigna az tx cigna [840] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
24	Healthpartners az cc complex care [771] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50
25	Humana az transplant [49] professional · percent of total billed charges · outpatientfrom % of charges	$577.50	$577.50	$382.50 – $772.50

Page 1 of 4 · 88 rates

Last updated: Aug 14, 2026

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