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 dye
London, NH
See all hospitals reporting CPT 70486 →Price type
The New London Hospital Association, Inc.’s median price of $99 is 69% below the median hospital's median price ($321), higher than 3% 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, 36 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 | Anthem anthem - medicare advantage professional · fee schedule · outpatient | $64.65 | $64.65 | $39.36 – $89.93 |
| 2 | UnitedHealthcare uhc - medicare advantage professional · fee schedule · outpatient | $64.65 | $64.65 | $39.36 – $89.93 |
| 3 | WellCare wellcare - medicare advantage professional · fee schedule · outpatient | $66.58 | $66.58 | $40.54 – $92.62 |
| 4 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $66.59 | $66.59 | $40.54 – $92.63 |
| 5 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $73.89 | $73.89 | $61.17 – $86.60 |
| 6 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $74.34 | $74.34 | $45.26 – $103.41 |
| 7 | Ambetter ambetter commercial - exchange professional · fee schedule · outpatient | $84.03 | $84.03 | $51.16 – $116.90 |
| 8 | UnitedHealthcare uhc - hmo/pos/ppo professional · fee schedule · outpatient | $87.60 | $87.60 | $53.39 – $121.81 |
| 9 | Anthem anthem shop on exch professional · fee schedule · outpatient | $90.50 | $90.50 | $55.10 – $125.90 |
| 10 | Cigna cigna hmo-pos-ppo professional · fee schedule · outpatient | $90.74 | $90.74 | $54.22 – $127.26 |
| 11 | Anthem anthem - indemnity and federal employee program professional · fee schedule · outpatient | $135.80 | $135.80 | $82.72 – $188.87 |
| 12 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $135.80 | $135.80 | $82.72 – $188.87 |
| 13 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $161.29 | $161.29 | $79.94 – $242.63 |
| 14 | UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient | $175.20 | $175.20 | $175.20 – $175.20 |
| 15 | Aetna aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 16 | Ambetter ambetter commercial - exchange facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 17 | Anthem anthem - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 18 | Anthem anthem indiv qhp - exchange facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 19 | Anthem anthem shop on exch facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 20 | UnitedHealthcare uhc - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 21 | WellCare wellcare - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $774.40 | $774.40 | $774.40 – $774.40 |
| 22 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $896.90 | $896.90 | $896.90 – $896.90 |
| 23 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · fee schedule · outpatient | $921.80 | $921.80 | $921.80 – $921.80 |
| 24 | Cigna cigna hmo-pos-ppo facility · fee schedule · outpatient | $1,131 | $1,131 | $1,131 – $1,131 |
| 25 | Cigna cigna hmo-pos-ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
Last updated: Jan 1, 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.