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
Waverly, OH
See all hospitals reporting CPT 70486 →Price type
Pike Health Services Inc’s median price of $1.1k is 242% above the median hospital's median price ($321), higher than 80% 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, 31 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 | Caresource commercial facility · case rate · outpatient | $213.62 | $213.62 | $213.62 – $213.62 |
| 2 | Molina commercial facility · case rate · outpatient | $213.62 | $213.62 | $213.62 – $213.62 |
| 3 | Caresource managed medicaid facility · other · outpatient | $299.67 | $299.67 | $299.67 – $299.67 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $367.08 | $367.08 | $367.08 – $367.08 |
| 5 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $367.08 | $367.08 | $367.08 – $367.08 |
| 6 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $367.08 | $367.08 | $367.08 – $367.08 |
| 7 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $367.08 | $367.08 | $367.08 – $367.08 |
| 8 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $374.42 | $374.42 | $374.42 – $374.42 |
| 9 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $474.15 | $474.15 | $474.15 – $474.15 |
| 10 | Molina managed medicaid facility · other · outpatient | $722.60 | $722.60 | $722.60 – $722.60 |
| 11 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $969.70 | $969.70 | $969.70 – $969.70 |
| 12 | Anthem ppo facility · percent of total billed charges · inpatientfrom % of charges | $969.70 | $969.70 | $969.70 – $969.70 |
| 13 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,008 | $1,008 | $1,008 – $1,008 |
| 14 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,008 | $1,008 | $1,008 – $1,008 |
| 15 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,098 | $1,098 | $1,098 – $1,098 |
| 16 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,098 | $1,098 | $1,098 – $1,098 |
| 17 | Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges | $1,098 | $1,098 | $1,098 – $1,098 |
| 18 | Medical Mutual managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,098 | $1,098 | $1,098 – $1,098 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,107 | $1,107 | $1,107 – $1,107 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,107 | $1,107 | $1,107 – $1,107 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $1,133 | $1,133 | $1,133 – $1,133 |
| 22 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1,133 | $1,133 | $1,133 – $1,133 |
| 23 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,245 | $1,245 | $1,245 – $1,245 |
| 25 | Aetna commercial facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
Last updated: Aug 19, 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.