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
Sparta, WI
See all hospitals reporting CPT 70496 →Price type
Mayo Clinic Health System’s median price of $3.8k is 632% 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: 16 payers, 37 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 | Tricare swwi tricare [689] professional · fee schedule · outpatient | $169.96 | $164.61 | $76.96 – $246.92 |
| 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 & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $189.34 | $180.22 | $80.99 – $270.33 |
| 7 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $193.02 | $183.72 | $82.56 – $275.58 |
| 8 | Medica swwi medica dual solution msho [1006] professional · fee schedule · outpatient | $193.02 | $183.72 | $82.56 – $275.58 |
| 9 | Ucare swwi ucare essentia care medicare advantage plan [774] professional · fee schedule · outpatient | $196.86 | $190.46 | $88.83 – $285.68 |
| 10 | Blue Cross Blue Shield swwi anthem hmo and pos [59] professional · fee schedule · outpatient | $1,587 | $1,819 | $878.00 – $3,225 |
| 11 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $2,603 | $2,116 | $570.70 – $3,173 |
| 12 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $2,883 | $2,343 | $632.16 – $3,515 |
| 13 | UnitedHealthcare swwi uhc [243] professional · fee schedule · outpatient | $2,281 | $2,465 | $807.76 – $4,491 |
| 14 | Anthem swwi anthem ppo [19] professional · fee schedule · outpatient | $2,301 | $2,490 | $816.54 – $4,540 |
| 15 | Blue Cross Blue Shield swwi anthem ppo [19] professional · fee schedule · outpatient | $2,301 | $2,490 | $816.54 – $4,540 |
| 16 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $3,203 | $2,604 | $702.40 – $3,906 |
| 17 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $3,403 | $2,766 | $746.30 – $4,150 |
| 18 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $3,403 | $2,766 | $746.30 – $4,150 |
| 19 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $3,524 | $2,864 | $772.64 – $4,296 |
| 20 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $3,604 | $2,929 | $790.20 – $4,394 |
| 21 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $3,604 | $2,929 | $790.20 – $4,394 |
| 22 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $3,764 | $3,059 | $825.32 – $4,589 |
| 23 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $3,764 | $3,059 | $825.32 – $4,589 |
| 24 | Medica multi medica ifb [1076] professional · percent of total billed charges · outpatientfrom % of charges | $3,764 | $3,059 | $825.32 – $4,589 |
| 25 | Cigna cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $3,804 | $3,092 | $834.10 – $4,638 |
Last updated: Aug 14, 2026
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