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
Clinton, IA
See all hospitals reporting CPT 70486 →Price type
Mercy Medical Center-Clinton Inc’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.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina molina medicaid facility · other · both | $97.21 | $97.21 | $97.21 – $97.21 |
| 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 | $109.08 | $109.08 | $109.08 – $109.08 |
| 13 | Wellmark wellmark medicare advantage facility · other · both | $110.17 | $110.17 | $110.17 – $110.17 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $111.26 | $111.26 | $111.26 – $111.26 |
| 15 | Oscar oscar facility · other · both | $151.84 | $151.84 | $151.84 – $151.84 |
| 16 | Ambetter ambetter marketplace facility · other · both | $186.99 | $186.99 | $186.99 – $186.99 |
| 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 | $1,968 | $1,968 | $1,968 – $1,968 |
| 19 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $1,968 | $1,968 | $1,968 – $1,968 |
| 20 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $1,968 | $1,968 | $1,968 – $1,968 |
| 21 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,024 | $2,024 | $2,024 – $2,024 |
| 22 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,024 | $2,024 | $2,024 – $2,024 |
| 23 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2,024 | $2,024 | $2,024 – $2,024 |
| 24 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $2,249 | $2,249 | $2,249 – $2,249 |
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.