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.
Original text from hospital filings
HC CT Maxillofacial W/O Contrast
Syracuse, NY
See all hospitals reporting CPT 70486 →Price type
St Josephs Hospital Health Center’s median price of $273 is 15% below the median hospital's median price ($321), higher than 47% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 38 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 2 | Blue Cross Blue Shield excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 3 | Excellus excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 4 | Highmark excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 5 | Regence excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 6 | Wellmark excellus bcbs medicare advantage facility · other · both | $112.74 | $112.74 | $112.74 – $112.74 |
| 7 | Excellus excellus bcbs medicaid facility · fee schedule · both | $121.20 | $121.20 | $121.20 – $121.20 |
| 8 | Excellus excellus bcbs medicaid ess 1 & 2 facility · fee schedule · both | $121.20 | $121.20 | $121.20 – $121.20 |
| 9 | Excellus excellus medicaid ess 3 & 4 & healthy facility · fee schedule · both | $121.20 | $121.20 | $121.20 – $121.20 |
| 10 | UnitedHealthcare united behavioral medicaid facility · fee schedule · both | $121.20 | $121.20 | $121.20 – $121.20 |
| 11 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $124.84 | $124.84 | $124.84 – $124.84 |
| 12 | Molina molina medicaid facility · fee schedule · both | $127.26 | $127.26 | $127.26 – $127.26 |
| 13 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $131.73 | $131.73 | $131.73 – $131.73 |
| 14 | Aetna aetna medicare advantage facility · other · both | $133.01 | $133.01 | $133.01 – $133.01 |
| 15 | WellCare wellcare medicare advantage facility · other · both | $137.03 | $137.03 | $137.03 – $137.03 |
| 16 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $141.80 | $141.80 | $141.80 – $141.80 |
| 17 | Molina molina medicaid ess 1 & 2 facility · fee schedule · both | $272.70 | $272.70 | $272.70 – $272.70 |
| 18 | Molina molina medicaid ess 3 & 4 facility · fee schedule · both | $272.70 | $272.70 | $272.70 – $272.70 |
| 19 | Cigna mvp commercial facility · other · both | $278.45 | $278.45 | $278.45 – $278.45 |
| 20 | Anthem excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
| 21 | Blue Cross Blue Shield excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
| 22 | Carefirst excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
| 23 | Excellus excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
| 24 | Highmark excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
| 25 | Premera excellus bcbs facility · other · both | $284.93 | $284.93 | $284.93 – $284.93 |
Last updated: Mar 31, 2026
See CT scan of face and jaw without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.