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
Shelby, MI
See all hospitals reporting CPT 70486 →Price type
Mercy Health Lakeshore Campus’s median price of $1.2k is 261% above the median hospital's median price ($321), higher than 82% 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: 13 payers, 17 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 blue cross complete medicaid facility · other · both | $78.77 | $78.77 | $78.77 – $78.77 |
| 2 | Molina molina medicaid facility · other · both | $80.31 | $80.31 | $80.31 – $80.31 |
| 3 | Blue Cross Blue Shield bcbs medicare advantage facility · percent of total billed charges · bothfrom % of charges | $317.03 | $317.03 | $317.03 – $317.03 |
| 4 | Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges | $317.03 | $317.03 | $317.03 – $317.03 |
| 5 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $323.50 | $323.50 | $323.50 – $323.50 |
| 6 | Oscar oscar epo facility · percent of total billed charges · bothfrom % of charges | $397.52 | $397.52 | $397.52 – $397.52 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $453.16 | $453.16 | $453.16 – $453.16 |
| 8 | Molina molina hmo marketplace facility · percent of total billed charges · bothfrom % of charges | $538.30 | $538.30 | $538.30 – $538.30 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,113 | $1,113 | $1,113 – $1,113 |
| 10 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1,113 | $1,113 | $1,113 – $1,113 |
| 11 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1,123 | $1,123 | $1,123 – $1,123 |
| 12 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $1,155 | $1,155 | $1,155 – $1,155 |
| 13 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,158 | $1,158 | $1,158 – $1,158 |
| 14 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,158 | $1,158 | $1,158 – $1,158 |
| 15 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,158 | $1,158 | $1,158 – $1,158 |
| 16 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $1,165 | $1,165 | $1,165 – $1,165 |
| 17 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $1,170 | $1,170 | $1,170 – $1,170 |
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.