CT scan of face and jaw without contrast dye at Saratoga 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

CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL

Saratoga Springs, NY

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How this price compares nationally

Saratoga Hospital’s median price of $61 is 81% below the median hospital's median price ($321), higher than 1% 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 Saratoga Hospital

Negotiated rates from the hospital’s own file: 7 payers, 59 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	Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient	$28.70	$28.70	$28.70 – $28.70
2	Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient	$28.70	$28.70	$28.70 – $28.70
3	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$32.52	$32.52	$32.52 – $32.52
4	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient	$32.52	$32.52	$32.52 – $32.52
5	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$32.52	$32.52	$32.52 – $32.52
6	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient	$32.52	$32.52	$32.52 – $32.52
7	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$32.53	$32.53	$32.53 – $32.53
8	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$32.53	$32.53	$32.53 – $32.53
9	Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient	$36.20	$36.20	$36.20 – $36.20
10	Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient	$36.20	$36.20	$36.20 – $36.20
11	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
12	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
13	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
14	Blue Cross Blue Shield essentialnonaliessa_md_nonfac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
15	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
16	Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
17	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
18	UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient	$38.26	$38.26	$38.26 – $38.26
19	Tricare all products_physician_fac professional · fee schedule · outpatient	$38.27	$38.27	$38.27 – $38.27
20	Tricare all products_physician_nonfac professional · fee schedule · outpatient	$38.27	$38.27	$38.27 – $38.27
21	Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient	$38.33	$38.33	$38.33 – $38.33
22	Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient	$38.33	$38.33	$38.33 – $38.33
23	Aetna medicare_fac professional · fee schedule · outpatient	$39.03	$39.03	$39.03 – $39.03
24	Aetna medicare_nonfac professional · fee schedule · outpatient	$39.03	$39.03	$39.03 – $39.03
25	UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient	$40.28	$40.28	$40.28 – $40.28

Page 1 of 3 · 59 rates

Last updated: Dec 31, 2025

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