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
Mason City, IA
See all hospitals reporting CPT 70486 →Price type
Mercy Health Services-Iowa Corp.’s median price of $107 is 67% below the median hospital's median price ($321), higher than 7% 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: 19 payers, 24 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Molina molina medicaid facility · other · both | $102.15 | $102.15 | $102.15 – $102.15 |
| 2 | Anthem wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 3 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 4 | Carefirst wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 5 | Excellus wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 6 | Highmark wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 7 | Kaiser wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 8 | Premera wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 9 | Regence wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 10 | Wellmark wellmark hmo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 11 | Wellmark wellmark ppo facility · fee schedule · both | $106.81 | $106.81 | $106.81 – $106.81 |
| 12 | Aetna aetna medicare advantage facility · other · both | $110.43 | $110.43 | $110.43 – $110.43 |
| 13 | Wellmark wellmark medicare advantage facility · other · both | $111.54 | $111.54 | $111.54 – $111.54 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $112.64 | $112.64 | $112.64 – $112.64 |
| 15 | Oscar oscar facility · other · both | $148.53 | $148.53 | $148.53 – $148.53 |
| 16 | Ambetter ambetter marketplace facility · other · both | $189.31 | $189.31 | $189.31 – $189.31 |
| 17 | UnitedHealthcare united healthcare facility · fee schedule · both | $240.48 | $240.48 | $240.48 – $240.48 |
| 18 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $1,290 | $1,290 | $1,290 – $1,290 |
| 19 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $1,290 | $1,290 | $1,290 – $1,290 |
| 20 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $1,290 | $1,290 | $1,290 – $1,290 |
| 21 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $1,721 | $1,721 | $1,721 – $1,721 |
| 22 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $1,721 | $1,721 | $1,721 – $1,721 |
| 23 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2,212 | $2,212 | $2,212 – $2,212 |
| 24 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $2,458 | $2,458 | $2,458 – $2,458 |
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.