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
Dover, OH
See all hospitals reporting CPT 70486 →Price type
The Union Hospital Association’s median price of $132 is 59% below the median hospital's median price ($321), higher than 18% 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, 44 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 | $1.65 | $1.65 | $1.65 – $1.65 |
| 2 | Aetna medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 3 | Anthem medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 4 | Cigna medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 5 | Humana medicare advantage hmo professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $79.68 | $79.68 | $39.05 – $120.30 |
| 7 | Anthem medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 9 | Optum all products va facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 11 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 12 | Devoted medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 13 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 14 | Anthem all products mid-level facility professional · fee schedule · outpatient | $112.87 | $112.87 | $54.60 – $171.13 |
| 15 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $112.87 | $112.87 | $54.60 – $171.13 |
| 16 | Molina managed medicaid professional · fee schedule · outpatient | $118.49 | $118.49 | $118.49 – $118.49 |
| 17 | Caresource managed medicaid professional · fee schedule · outpatient | $124.41 | $124.41 | $124.41 – $124.41 |
| 18 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $126.78 | $126.78 | $126.78 – $126.78 |
| 19 | UnitedHealthcare all products - mid-level professional · fee schedule · outpatient | $142.97 | $142.97 | $69.27 – $216.66 |
| 20 | UnitedHealthcare all products professional · fee schedule · outpatient | $158.85 | $158.85 | $76.97 – $240.73 |
| 21 | UnitedHealthcare hmo & ppo professional · fee schedule · outpatient | $158.85 | $158.85 | $76.97 – $240.73 |
| 22 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $188.29 | $188.29 | $95.03 – $281.54 |
| 23 | Anthem managed medicaid facility · case rate · outpatient | $207.01 | $207.01 | $207.01 – $207.01 |
| 24 | Molina managed medicaid facility · case rate · outpatient | $207.01 | $207.01 | $207.01 – $207.01 |
| 25 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $207.58 | $207.58 | $207.58 – $207.58 |
Last updated: Jun 15, 2026
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