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
HB CT MAXILLOFACIAL W/O DYE
Lehighton, PA
See all hospitals reporting CPT 70486 →Price type
St Luke's Hospital - Carbon Campus’s median price of $242 is 24% below the median hospital's median price ($321), higher than 43% 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: 8 payers, 17 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 medicare facility · fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 2 | Highmark medicare advantage facility · fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 3 | Highmark freedom blue medicare advantage facility · fee schedule · outpatient | $106.91 | $106.91 | $106.91 – $106.91 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $107.97 | $107.97 | $107.97 – $107.97 |
| 5 | Humana medicare facility · fee schedule · outpatient | $110.08 | $110.08 | $110.08 – $110.08 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $114.32 | $114.32 | $114.32 – $114.32 |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $149.50 | $149.50 | $149.50 – $149.50 |
| 8 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $156.00 | $156.00 | $156.00 – $156.00 |
| 9 | Highmark commercial/special care facility · fee schedule · outpatient | $297.29 | $297.29 | $297.29 – $297.29 |
| 10 | Blue Cross Blue Shield amerihealth facility · fee schedule · outpatient | $793.83 | $793.83 | $793.83 – $793.83 |
| 11 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 12 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,257 | $1,257 | $1,257 – $1,257 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,327 | $1,327 | $1,327 – $1,327 |
| 15 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $1,355 | $1,355 | $1,355 – $1,355 |
| 16 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,580 | $1,580 | $1,580 – $1,580 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,603 | $1,603 | $1,603 – $1,603 |
Last updated: Feb 27, 2026
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