CT scan of face and jaw without contrast dye at Mercy Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct maxillofacial w/o dye

Portland, ME

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How this price compares nationally

Mercy Hospital’s median price of $108 is 66% below the median hospital's median price ($321), higher than 8% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Mercy Hospital

Negotiated rates from the hospital’s own file: 5 payers, 28 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	Anthem mcr advantage professional · fee schedule · outpatient	$63.38	$63.38	$38.82 – $87.94
2	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$64.65	$64.65	$39.60 – $89.70
3	WellCare mcr advantage professional · fee schedule · outpatient	$64.65	$64.65	$39.60 – $89.70
4	Aetna mcr advantage professional · fee schedule · outpatient	$79.64	$79.64	$49.09 – $110.19
5	Aetna commercial professional · fee schedule · outpatient	$102.51	$102.51	$66.13 – $138.88
6	Anthem mcr advantage facility · case rate · outpatient	$103.85	$103.85	$103.85 – $103.85
7	Aetna mcr advantage facility · case rate · outpatient	$105.93	$105.93	$105.93 – $105.93
8	UnitedHealthcare mcr advantage facility · case rate · outpatient	$105.93	$105.93	$105.93 – $105.93
9	WellCare mcr advantage facility · case rate · outpatient	$105.93	$105.93	$105.93 – $105.93
10	UnitedHealthcare commercial professional · fee schedule · outpatient	$114.98	$114.98	$73.68 – $156.27
11	Anthem commercial professional · fee schedule · outpatient	$122.37	$122.37	$75.93 – $168.80
12	Anthem enhanced pathways professional · fee schedule · outpatient	$122.37	$122.37	$75.93 – $168.80
13	Cigna commercial professional · fee schedule · outpatient	$148.02	$148.02	$89.20 – $206.84
14	Aetna commercial facility · fee schedule · outpatient	$364.95	$364.95	$364.95 – $364.95
15	Anthem enhanced pathways facility · case rate · outpatient	$381.89	$381.89	$381.89 – $381.89
16	Anthem commercial facility · case rate · outpatient	$489.60	$489.60	$489.60 – $489.60
17	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$550.02	$550.02	$550.02 – $550.02
18	Cigna commercial facility · case rate · outpatient	$576.03	$576.03	$576.03 – $576.03
19	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$669.50	$669.50	$669.50 – $669.50
20	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$669.50	$669.50	$669.50 – $669.50
21	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$669.50	$669.50	$669.50 – $669.50
22	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$669.50	$669.50	$669.50 – $669.50
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$722.03	$722.03	$722.03 – $722.03
24	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$737.89	$737.89	$737.89 – $737.89
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$749.84	$749.84	$749.84 – $749.84

Page 1 of 2 · 28 rates

Last updated: Apr 15, 2026

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