CT scan of face and jaw without contrast dye at Saint Marys Hospital

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

HC CT Maxillofacial W/O Contrast

Waterbury, CT

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How this price compares nationally

Saint Marys Hospital’s median price of $372 is 16% above the median hospital's median price ($321), higher than 53% 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 Saint Marys Hospital

Negotiated rates from the hospital’s own file: 16 payers, 25 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 aetna medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
2	Anthem anthem mediblue medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
3	UnitedHealthcare united healthcare medicare advantage facility · other · both	$122.82	$122.82	$122.82 – $122.82
4	WellCare wellcare medicare advantage facility · other · both	$125.33	$125.33	$125.33 – $125.33
5	Cigna cigna medicare advantage facility · other · both	$126.51	$126.51	$126.51 – $126.51
6	UnitedHealthcare united healthcare facility · fee schedule · both	$179.33	$179.33	$179.33 – $179.33
7	Aetna aetna whole health facility · fee schedule · both	$196.84	$196.84	$196.84 – $196.84
8	Aetna aetna facility · fee schedule · both	$246.05	$246.05	$246.05 – $246.05
9	Anthem anthem individual pathway hmo ppo facility · other · both	$288.09	$288.09	$288.09 – $288.09
10	Anthem anthem bc prime bcn cent pref sm grp pth facility · other · both	$334.56	$334.56	$334.56 – $334.56
11	Cigna cigna facility · fee schedule · both	$338.00	$338.00	$338.00 – $338.00
12	Anthem anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
13	Blue Cross Blue Shield anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
14	Carefirst anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
15	Excellus anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
16	Highmark anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
17	Kaiser anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
18	Premera anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
19	Regence anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
20	Wellmark anthem facility · other · both	$371.73	$371.73	$371.73 – $371.73
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1,405	$1,405	$1,405 – $1,405
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1,405	$1,405	$1,405 – $1,405
23	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$1,460	$1,460	$1,460 – $1,460
24	Optum united healthcare facility · percent of total billed charges · bothfrom % of charges	$1,825	$1,825	$1,825 – $1,825
25	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$1,825	$1,825	$1,825 – $1,825

Last updated: Mar 31, 2026

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