CT scan of face and jaw without contrast dye at Saline Memorial 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

Ct maxillofacial w/o dye

Benton, AR

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How this price compares nationally

Saline Memorial Hospital’s median price of $215 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 Saline Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Bcbs Ar 1888_1 fee schedule · both	$106.10	$106.10	$106.10 – $106.10
2	Blue Cross Blue Shield 1850_1 fee schedule · both	$106.10	$106.10	$106.10 – $106.10
3	Blue Cross Blue Shield 1851_1 fee schedule · both	$106.10	$106.10	$106.10 – $106.10
4	Blue Cross Blue Shield 1885_1 fee schedule · both	$106.10	$106.10	$106.10 – $106.10
5	Cigna 1009_1 fee schedule · both	$131.55	$131.55	$131.55 – $131.55
6	UnitedHealthcare 1241_1 fee schedule · both	$170.59	$170.59	$170.59 – $170.59
7	UnitedHealthcare 1244_1 fee schedule · both	$170.59	$170.59	$170.59 – $170.59
8	UnitedHealthcare 1248_1 fee schedule · both	$170.59	$170.59	$170.59 – $170.59
9	UnitedHealthcare 1258_1 fee schedule · both	$170.59	$170.59	$170.59 – $170.59
10	Aetna 385_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
11	Blue Cross Blue Shield 321_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
12	Humana 311_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
13	Medicare 200_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
14	UnitedHealthcare 303_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
15	UnitedHealthcare 314_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
16	UnitedHealthcare 318_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
17	UnitedHealthcare 326_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92
18	UnitedHealthcare 347_1 fee schedule · both	$214.92	$214.92	$214.92 – $214.92

Last updated: Jul 17, 2026

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