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
CT Maxillofacial W/O Contrast
Urbana, IL
See all hospitals reporting CPT 70486 →Price type
The Carle Foundation Hospital’s median price of $361 is 13% above the median hospital's median price ($321), higher than 53% 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: 9 payers, 29 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 | Aetna medicare advantage hmo case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 3 | Humana medicare advantage case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 4 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 6 | UnitedHealthcare va ccn/optum case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 7 | WellCare medicare advantage hmo case rate · outpatient | $112.03 | $112.03 | $112.03 – $112.03 |
| 8 | Aetna medicare advantage ppo case rate · outpatient | $114.27 | $114.27 | $114.27 – $114.27 |
| 9 | Aetna Better Health managed medicaid other · outpatient | $127.23 | $127.23 | $127.23 – $127.23 |
| 10 | Blue Cross Blue Shield managed medicaid other · outpatient | $134.01 | $134.01 | $134.01 – $134.01 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $135.00 | $135.00 | $135.00 – $135.00 |
| 12 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $135.00 | $135.00 | $135.00 – $135.00 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $139.05 | $139.05 | $139.05 – $139.05 |
| 14 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $139.05 | $139.05 | $139.05 – $139.05 |
| 15 | Cigna ppo case rate · outpatient | $364.11 | $364.11 | $364.11 – $364.11 |
| 16 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $1,074 | $1,074 | $1,074 – $1,074 |
| 17 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,074 | $1,074 | $1,074 – $1,074 |
| 18 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $1,074 | $1,074 | $1,074 – $1,074 |
| 19 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $1,719 | $1,719 | $1,719 – $1,719 |
| 20 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $1,719 | $1,719 | $1,719 – $1,719 |
| 21 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2,217 | $2,217 | $2,217 – $2,217 |
| 22 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $2,328 | $2,328 | $2,328 – $2,328 |
| 23 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2,328 | $2,328 | $2,328 – $2,328 |
| 24 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $2,367 | $2,367 | $2,367 – $2,367 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2,793 | $2,793 | $2,793 – $2,793 |
Last updated: Apr 15, 2026
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