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
PR Cta Head W/O &/or W/Contrast
Mishawaka, IN
See all hospitals reporting CPT 70496 →Price type
Mishawaka Medical Center’s median price of $251 is 52% below the median hospital's median price ($519), higher than 21% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 31 payers, 157 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 | Aetna medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 2 | Blue Cross Blue Shield medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 3 | Molina medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 4 | UnitedHealthcare medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 5 | UnitedHealthcare uhc medicare advantage professional · fee schedule · inpatient | $114.48 | $114.48 | $52.92 – $176.03 |
| 6 | UnitedHealthcare uhc medicare advantage professional · fee schedule · outpatient | $114.48 | $114.48 | $52.92 – $176.03 |
| 7 | Humana tricare professional · fee schedule · inpatient | $158.60 | $158.60 | $76.65 – $240.55 |
| 8 | Humana tricare professional · fee schedule · outpatient | $158.60 | $158.60 | $76.65 – $240.55 |
| 9 | Tricare tricare professional · fee schedule · inpatient | $158.60 | $158.60 | $76.65 – $240.55 |
| 10 | Tricare tricare professional · fee schedule · outpatient | $158.60 | $158.60 | $76.65 – $240.55 |
| 11 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 12 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 13 | Aetna medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 14 | Aetna medicare professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 15 | Anthem anthem bcbs medicare advantage professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 16 | Anthem anthem bcbs medicare advantage professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 17 | Anthem medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 18 | Anthem medicare professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 19 | Blue Cross Blue Shield medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 20 | Blue Cross Blue Shield medicare professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 21 | Carefirst medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 22 | Carefirst medicare professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 23 | Caresource medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 24 | Caresource medicare professional · fee schedule · outpatient | $163.55 | $163.55 | $75.61 – $251.48 |
| 25 | Cigna medicare professional · fee schedule · inpatient | $163.55 | $163.55 | $75.61 – $251.48 |
Last updated: Mar 31, 2026
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