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 W/O Contrast
Olney, IL
See all hospitals reporting CPT 70486 →Price type
Richland Memorial Hospital Inc’s median price of $750 is 134% above the median hospital's median price ($321), higher than 71% 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: 9 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna Better Health managed medicaid other · outpatient | $151.96 | $151.96 | $151.96 – $151.96 |
| 2 | Blue Cross Blue Shield managed medicaid other · outpatient | $160.06 | $160.06 | $160.06 – $160.06 |
| 3 | Cigna ppo case rate · outpatient | $600.00 | $600.00 | $600.00 – $600.00 |
| 4 | Aetna medicare advantage hmo percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 5 | Aetna medicare advantage ppo percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 6 | Aetna Better Health medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 7 | Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 8 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 9 | Humana medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 12 | WellCare medicare advantage hmo percent of total billed charges · outpatientfrom % of charges | $617.40 | $617.40 | $617.40 – $617.40 |
| 13 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $882.00 | $882.00 | $882.00 – $882.00 |
| 14 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $882.00 | $882.00 | $882.00 – $882.00 |
| 15 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
| 16 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,058 | $2,058 | $2,058 – $2,058 |
| 18 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2,058 | $2,058 | $2,058 – $2,058 |
| 19 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $2,246 | $2,246 | $2,246 – $2,246 |
| 20 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2,246 | $2,246 | $2,246 – $2,246 |
| 21 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2,452 | $2,452 | $2,452 – $2,452 |
| 22 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2,452 | $2,452 | $2,452 – $2,452 |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $2,499 | $2,499 | $2,499 – $2,499 |
| 24 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $2,558 | $2,558 | $2,558 – $2,558 |
Last updated: Apr 15, 2026
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