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
PR CTA HEAD WO/W CNTRST
Bloomer, WI
See all hospitals reporting CPT 70496 →Price type
Mayo Clinic Health System’s median price of $3.8k is 623% above the median hospital's median price ($519), higher than 96% 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: 12 payers, 30 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $139.68 | $135.14 | $63.03 – $202.71 |
| 2 | Ucare ucare connect medicare advantage plan [1107] professional · fee schedule · outpatient | $150.64 | $145.74 | $67.97 – $218.61 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $171.18 | $165.61 | $77.24 – $248.42 |
| 4 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $171.18 | $165.61 | $77.24 – $248.42 |
| 5 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $176.32 | $170.58 | $79.56 – $255.87 |
| 6 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $179.74 | $173.89 | $81.10 – $260.84 |
| 7 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $193.02 | $183.72 | $82.56 – $275.58 |
| 8 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $193.02 | $183.72 | $82.56 – $275.58 |
| 9 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $198.54 | $188.97 | $84.92 – $283.46 |
| 10 | Medica medica part b medicare advantage plan [495] professional · fee schedule · outpatient | $211.40 | $201.22 | $90.42 – $301.83 |
| 11 | Blue Cross Blue Shield nwwi anthem hmo and pos [54] professional · fee schedule · outpatient | $2,296 | $2,128 | $863.00 – $3,225 |
| 12 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $2,830 | $2,301 | $621.36 – $3,452 |
| 13 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $3,341 | $2,717 | $733.55 – $4,075 |
| 14 | Medica nwwi medica engage ifb [1300] professional · percent of total billed charges · outpatientfrom % of charges | $3,341 | $2,717 | $733.55 – $4,075 |
| 15 | Medica nwwi medica non mayo employee group [762] professional · percent of total billed charges · outpatientfrom % of charges | $3,341 | $2,717 | $733.55 – $4,075 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $3,538 | $2,876 | $776.70 – $4,315 |
| 17 | UnitedHealthcare multi uhc [266] professional · fee schedule · outpatient | $3,617 | $2,940 | $793.96 – $4,410 |
| 18 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $3,656 | $2,972 | $802.59 – $4,458 |
| 19 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $3,695 | $3,004 | $811.22 – $4,506 |
| 20 | Medica nwwi medica ifb [1077] professional · percent of total billed charges · outpatientfrom % of charges | $3,713 | $3,019 | $815.10 – $4,528 |
| 21 | Anthem multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $3,734 | $3,036 | $819.85 – $4,554 |
| 22 | Blue Cross Blue Shield multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $3,734 | $3,036 | $819.85 – $4,554 |
| 23 | Aetna multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $3,754 | $3,052 | $824.17 – $4,578 |
| 24 | First Health multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $3,754 | $3,052 | $824.17 – $4,578 |
| 25 | Medical Mutual multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $3,754 | $3,052 | $824.17 – $4,578 |
Last updated: Aug 14, 2026
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