CT scan of face and jaw without contrast dye at Reston Hospital Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT MAXIFAC W/O CNT

VIENNA, VA

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How this price compares nationally

Reston Hospital Center’s median price of $1.2k is 269% above the median hospital's median price ($321), higher than 82% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Reston Hospital Center

Negotiated rates from the hospital’s own file: 5 payers, 13 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	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245.18	$245.18	$245.18 – $245.18
2	Anthem hix fee schedule · outpatient	$352.61	$335.97	$151.34 – $503.96
3	Anthem hpn fee schedule · outpatient	$356.38	$339.56	$152.96 – $509.33
4	Anthem hmo fee schedule · outpatient	$382.06	$364.03	$163.98 – $546.04
5	Anthem ppo fee schedule · outpatient	$382.06	$364.03	$163.98 – $546.04
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$836.16	$836.16	$828.49 – $843.83
7	Carefirst hmo fee schedule · outpatient	$1,109	$1,109	$1,109 – $1,109
8	Carefirst rpn fee schedule · outpatient	$1,109	$1,109	$1,109 – $1,109
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$1,182	$1,182	$1,172 – $1,193
10	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$1,423	$1,423	$1,410 – $1,436
11	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1,423	$1,423	$1,410 – $1,436
12	Aetna broad case rate · outpatient	$1,819	$1,819	$1,819 – $1,819
13	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$1,900	$1,900	$1,883 – $1,918

Last updated: Mar 1, 2026

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