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
CT-MAXILLOFACIAL WO
Tucson, AZ
See all hospitals reporting CPT 70486 →Price type
Northwest Sahurita Hospital LLC’s median price of $113 is 65% below the median hospital's median price ($321), higher than 10% 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: 12 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 | Magellan magellan medicaid az facility · other · outpatient | $82.12 | $82.12 | $82.12 – $82.12 |
| 2 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $109.78 | $109.78 | $109.78 – $109.78 |
| 3 | Blue Cross Blue Shield node bcbs az mcr adv facility · fee schedule · outpatient | $109.78 | $109.78 | $109.78 – $109.78 |
| 4 | Cigna Healthspring node cigna healthspring mc adv facility · fee schedule · outpatient | $109.78 | $109.78 | $109.78 – $109.78 |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $109.78 | $109.78 | $109.78 – $109.78 |
| 6 | UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient | $109.78 | $109.78 | $109.78 – $109.78 |
| 7 | Tricare node tricare facility · fee schedule · outpatient | $111.56 | $111.56 | $111.56 – $111.56 |
| 8 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $111.98 | $111.98 | $111.98 – $111.98 |
| 9 | Clover node clover health mcr adv facility · fee schedule · outpatient | $112.68 | $112.68 | $112.68 – $112.68 |
| 10 | Aetna aetna qhp facility · other · outpatient | $112.95 | $112.95 | $112.95 – $112.95 |
| 11 | Devoted node devoted health mcr adv facility · other · outpatient | $113.07 | $113.07 | $113.07 – $113.07 |
| 12 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $115.27 | $115.27 | $115.27 – $115.27 |
| 13 | Aetna aetna performance facility · other · outpatient | $126.24 | $126.24 | $126.24 – $126.24 |
| 14 | Aetna aetna facility · other · outpatient | $132.88 | $132.88 | $132.88 – $132.88 |
| 15 | Ambetter node az complete health ambetter exchange facility · fee schedule · outpatient | $157.30 | $157.30 | $157.30 – $157.30 |
| 16 | UnitedHealthcare uhc hix facility · fee schedule · outpatient | $192.38 | $192.38 | $192.38 – $192.38 |
| 17 | UnitedHealthcare uhc navigate facility · fee schedule · outpatient | $203.07 | $203.07 | $203.07 – $203.07 |
| 18 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $240.48 | $240.48 | $240.48 – $240.48 |
| 19 | Blue Cross Blue Shield bcbs az pima connect facility · other · outpatient | $377.87 | $377.87 | $377.87 – $377.87 |
| 20 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient | $397.77 | $397.77 | $397.77 – $397.77 |
| 21 | Blue Cross Blue Shield bcbs az work comp facility · other · outpatient | $538.44 | $538.44 | $538.44 – $538.44 |
| 22 | Cigna cigna local plus facility · case rate · outpatient | $1,013 | $1,013 | $1,013 – $1,013 |
| 23 | Cigna cigna hmo facility · case rate · outpatient | $1,055 | $1,055 | $1,055 – $1,055 |
| 24 | Cigna cigna localflex facility · case rate · outpatient | $1,055 | $1,055 | $1,055 – $1,055 |
Last updated: Apr 1, 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.