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
Livonia, MI
See all hospitals reporting CPT 70486 →Price type
St Mary Mercy Livonia’s median price of $782 is 144% above the median hospital's median price ($321), higher than 71% 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: 21 payers, 30 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 | Molina molina medicaid facility · other · both | $57.25 | $57.25 | $57.25 – $57.25 |
| 2 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $58.40 | $58.40 | $58.40 – $58.40 |
| 3 | Aetna aetna medicare advantage facility · other · both | $102.13 | $102.13 | $102.13 – $102.13 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $102.13 | $102.13 | $102.13 – $102.13 |
| 5 | Molina molina medicare advantage facility · other · both | $102.13 | $102.13 | $102.13 – $102.13 |
| 6 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $107.34 | $107.34 | $107.34 – $107.34 |
| 7 | Aetna aetna ppo facility · fee schedule · both | $111.24 | $111.24 | $111.24 – $111.24 |
| 8 | Molina molina hmo marketplace facility · other · both | $135.48 | $135.48 | $135.48 – $135.48 |
| 9 | Anthem bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 10 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 11 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 12 | Carefirst bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 13 | Excellus bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 14 | Highmark bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 15 | Kaiser bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 16 | Premera bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 17 | Regence bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 18 | Wellmark bcbs trad / trust facility · fee schedule · both | $143.27 | $143.27 | $143.27 – $143.27 |
| 19 | Caresource hap hmo facility · fee schedule · both | $447.20 | $447.20 | $447.20 – $447.20 |
| 20 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $1,216 | $1,216 | $1,216 – $1,216 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1,735 | $1,735 | $1,735 – $1,735 |
| 22 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,760 | $1,760 | $1,760 – $1,760 |
| 23 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,760 | $1,760 | $1,760 – $1,760 |
| 24 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,760 | $1,760 | $1,760 – $1,760 |
| 25 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,773 | $1,773 | $1,773 – $1,773 |
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.