CT scan of face and jaw without contrast dye at Samuel Mahelona 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

70486 CT MAXLFCL AREA C-MATRL ProFee

Kapaa, HI

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How this price compares nationally

Samuel Mahelona Memorial Hospital’s median price of $266 is 17% below the median hospital's median price ($321), higher than 46% 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 Samuel Mahelona Memorial Hospital

Negotiated rates from the hospital’s own file: 4 payers, 19 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 medicare professional · fee schedule · both	$40.46	$54.81	$40.46 – $140.91
2	Devoted medicare professional · fee schedule · both	$44.51	$58.32	$44.51 – $155.00
3	Kaiser commercial professional · fee schedule · both	$48.55	$63.62	$48.55 – $169.09
4	Kaiser medicaid professional · fee schedule · both	$48.55	$65.77	$48.55 – $169.09
5	Kaiser medicare professional · fee schedule · both	$48.55	$65.77	$48.55 – $169.09
6	UnitedHealthcare medicaid professional · fee schedule · both	$87.30	$87.30	$87.30 – $87.30
7	UnitedHealthcare medicaid facility · fee schedule · outpatient	$155.53	$155.53	$155.53 – $155.53
8	Kaiser commercial professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
9	Kaiser medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
10	UnitedHealthcare medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
11	Kaiser medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
12	UnitedHealthcare medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
13	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,329	$2,329	$2,329 – $2,334
14	Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,329	$2,329	$2,329 – $2,334
15	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,329	$2,329	$2,329 – $2,334
16	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$2,375	$2,376	$2,375 – $2,380
17	Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,561	$2,562	$2,561 – $2,567
18	Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,191	$4,193	$4,191 – $4,200
19	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,191	$4,193	$4,191 – $4,200

Last updated: Jun 15, 2026

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