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
New Hampton, IA
See all hospitals reporting CPT 70486 →Price type
Mercy Medical Center - New Hampton’s median price of $1.9k is 478% above the median hospital's median price ($321), higher than 92% 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, 12 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $776.76 | $776.76 | $776.76 – $776.76 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $784.80 | $784.80 | $784.80 – $784.80 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $831.89 | $831.89 | $831.89 – $831.89 |
| 4 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 5 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1,177 | $1,177 | $1,177 – $1,177 |
| 6 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $1,318 | $1,318 | $1,318 – $1,318 |
| 7 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $1,361 | $1,361 | $1,361 – $1,361 |
| 8 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $1,854 | $1,854 | $1,854 – $1,854 |
| 9 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $1,854 | $1,854 | $1,854 – $1,854 |
| 10 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $1,854 | $1,854 | $1,854 – $1,854 |
| 11 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $1,903 | $1,903 | $1,903 – $1,903 |
| 12 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $1,903 | $1,903 | $1,903 – $1,903 |
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.