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 Maxillofacial W/O Contrast
Darby, PA
See all hospitals reporting CPT 70486 →Price type
Mercy Fitzgerald Hospital’s median price of $193 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, 29 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 aetna better health medicaid facility · fee schedule · outpatient | $104.63 | $104.63 | $104.63 – $104.63 |
| 2 | Blue Cross Blue Shield independence blue cross medicare adv facility · other · both | $107.41 | $107.41 | $107.41 – $107.41 |
| 3 | Blue Cross Blue Shield independence blue cross medicare adv facility · other · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 4 | Cigna cigna healthspring medicare advantage facility · other · both | $108.42 | $108.42 | $108.42 – $108.42 |
| 5 | Cigna cigna healthspring medicare advantage facility · other · outpatient | $108.42 | $108.42 | $108.42 – $108.42 |
| 6 | Devoted devoted health medicare advantage facility · other · both | $110.09 | $110.09 | $110.09 – $110.09 |
| 7 | Devoted devoted health medicare advantage facility · other · outpatient | $110.09 | $110.09 | $110.09 – $110.09 |
| 8 | Aetna aetna medicare advantage facility · other · both | $113.68 | $113.68 | $113.68 – $113.68 |
| 9 | Aetna aetna medicare advantage facility · other · outpatient | $113.68 | $113.68 | $113.68 – $113.68 |
| 10 | Highmark highmark wholecare medicare advantage facility · other · both | $123.52 | $123.52 | $123.52 – $123.52 |
| 11 | Highmark highmark wholecare medicare advantage facility · other · outpatient | $123.52 | $123.52 | $123.52 – $123.52 |
| 12 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · both | $127.27 | $127.27 | $127.27 – $127.27 |
| 13 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · outpatient | $127.27 | $127.27 | $127.27 – $127.27 |
| 14 | Aetna aetna better health medicaid facility · fee schedule · both | $140.07 | $140.07 | $104.63 – $175.50 |
| 15 | Ambetter ambetter marketplace facility · other · both | $191.72 | $191.72 | $191.72 – $191.72 |
| 16 | Ambetter ambetter marketplace facility · other · outpatient | $191.72 | $191.72 | $191.72 – $191.72 |
| 17 | Oscar oscar medicare advantage facility · other · both | $193.33 | $193.33 | $193.33 – $193.33 |
| 18 | Oscar oscar medicare advantage facility · other · outpatient | $193.33 | $193.33 | $193.33 – $193.33 |
| 19 | Cigna cigna exchange facility · other · both | $233.40 | $233.40 | $233.40 – $233.40 |
| 20 | Cigna cigna exchange facility · other · outpatient | $233.40 | $233.40 | $233.40 – $233.40 |
| 21 | Cigna cigna facility · other · both | $254.71 | $254.71 | $254.71 – $254.71 |
| 22 | Cigna cigna facility · other · outpatient | $254.71 | $254.71 | $254.71 – $254.71 |
| 23 | Highmark highmark health plan facility · other · both | $290.43 | $290.43 | $290.43 – $290.43 |
| 24 | Highmark highmark health plan facility · other · outpatient | $290.43 | $290.43 | $290.43 – $290.43 |
| 25 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1,021 | $1,021 | $1,021 – $1,021 |
Last updated: Mar 31, 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.