CT scan of face and jaw without contrast dye at Rush Medical Foundation

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

PR CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST

Quitman, MS

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How this price compares nationally

Rush Medical Foundation’s median price of $214 is 33% below the median hospital's median price ($321), higher than 38% 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 Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 23 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	Humana all payor fee schedule · outpatient	$102.02	$102.02	$92.63 – $111.41
2	Molina all payor fee schedule · outpatient	$111.41	$104.34	$81.46 – $112.52
3	Cigna Healthspring all payor fee schedule · outpatient	$111.41	$111.41	$111.41 – $111.41
4	Optum all payor fee schedule · outpatient	$111.41	$111.41	$111.41 – $111.41
5	WellCare all payor fee schedule · outpatient	$111.41	$111.41	$111.41 – $111.41
6	UnitedHealthcare all payor fee schedule · outpatient	$149.75	$148.47	$111.41 – $174.35
7	Ambetter all payor fee schedule · outpatient	$155.97	$155.97	$155.97 – $155.97
8	Aetna all payor fee schedule · outpatient	$259.84	$259.84	$259.84 – $259.84
9	Bcbs Ms all payor fee schedule · outpatient	$262.75	$274.86	$235.92 – $351.42
10	MultiPlan all payor fee schedule · outpatient	$398.00	$398.00	$398.00 – $398.00
11	Cigna all payor fee schedule · outpatient	$405.27	$405.27	$405.27 – $405.27
12	Cigna all payor other · outpatient	$500.00	$500.00	$500.00 – $500.00
13	Humana all payor percent of total billed charges · outpatientfrom % of charges	$574.66	$574.66	$376.86 – $772.46
14	Cigna Healthspring all payor other · outpatient	$711.95	$711.95	$466.90 – $957.00
15	Humana all payor other · outpatient	$711.95	$711.95	$466.90 – $957.00
16	Optum all payor other · outpatient	$711.95	$711.95	$466.90 – $957.00
17	UnitedHealthcare all payor other · outpatient	$711.95	$711.95	$466.90 – $957.00
18	Ambetter all payor other · outpatient	$719.07	$719.07	$471.57 – $966.57
19	Molina all payor other · outpatient	$719.07	$719.07	$471.57 – $966.57
20	WellCare all payor other · outpatient	$719.07	$719.07	$471.57 – $966.57
21	Aetna all payor percent of total billed charges · outpatientfrom % of charges	$797.88	$797.88	$523.25 – $1,073
22	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$920.63	$920.63	$603.75 – $1,238
23	Bcbs Ms all payor other · outpatient	$982.00	$982.00	$644.00 – $1,320

Last updated: Apr 1, 2026

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