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 MATERIAL
Cleveland, OH
See all hospitals reporting CPT 70486 →Price type
The Cleveland Clinic Foundation’s median price of $217 is 32% below the median hospital's median price ($321), higher than 39% 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: 11 payers, 69 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 all products professional · other · outpatient | $3.22 | $3.22 | $3.22 – $3.22 |
| 2 | Devoted medicare advantage professional · fee schedule · outpatient | $79.31 | $78.38 | $38.26 – $117.57 |
| 3 | Aetna medicare advantage professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 4 | Aetna medicare advantage transplant professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 5 | Anthem medicare advantage professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 6 | Humana medicare advantage hmo professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 7 | Optum medicare advantage transplant professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $81.25 | $80.20 | $39.05 – $120.30 |
| 9 | Cigna medicare advantage professional · fee schedule · outpatient | $83.69 | $82.61 | $40.22 – $123.91 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $95.38 | $95.38 | $95.38 – $95.38 |
| 11 | Humana medicare advantage hmo facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 12 | Optum all products va facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 13 | Optum medicare advantage transplant facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 15 | Anthem medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 16 | Cigna medicare advantage lifesource facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 17 | Devoted medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 18 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 19 | Optum managed medicaid transplant professional · fee schedule · outpatient | $112.56 | $112.56 | $112.56 – $112.56 |
| 20 | Anthem all products mid-level facility professional · fee schedule · outpatient | $116.53 | $114.09 | $54.60 – $171.13 |
| 21 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $116.53 | $114.09 | $54.60 – $171.13 |
| 22 | Caresource managed medicaid professional · fee schedule · outpatient | $124.41 | $124.41 | $124.41 – $124.41 |
| 23 | Molina managed medicaid professional · fee schedule · outpatient | $130.34 | $130.34 | $130.34 – $130.34 |
| 24 | Humana all products professional · fee schedule · outpatient | $170.40 | $170.40 | $170.40 – $170.40 |
| 25 | Aetna medicare advantage transplant facility · fee schedule · outpatient | $173.93 | $173.93 | $173.93 – $173.93 |
Last updated: Jun 16, 2026
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