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
HCHG 70486 CT MAXILLA W/O IV CONT
Whitehall, WI
See all hospitals reporting CPT 70486 →Price type
Tri-County Memorial Hospital Inc’s median price of $816 is 155% above the median hospital's median price ($321), higher than 72% 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: 5 payers, 14 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 medicaid facility · other · outpatient | $231.30 | $231.30 | $231.30 – $231.30 |
| 2 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $719.16 | $719.16 | $719.16 – $719.16 |
| 3 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $719.16 | $719.16 | $719.16 – $719.16 |
| 4 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $719.16 | $719.16 | $719.16 – $719.16 |
| 5 | Anthem medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $815.97 | $815.97 | $815.97 – $815.97 |
| 6 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $815.97 | $815.97 | $815.97 – $815.97 |
| 7 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $815.97 | $815.97 | $815.97 – $815.97 |
| 8 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $995.76 | $995.76 | $995.76 – $995.76 |
| 9 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,066 | $1,066 | $1,066 – $1,066 |
| 10 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1,106 | $1,106 | $1,106 – $1,106 |
| 11 | Anthem state specific facility · other · outpatient | $2,092 | $2,092 | $2,092 – $2,092 |
| 12 | Anthem state specific facility · fee schedule · outpatient | $2,096 | $2,096 | $2,096 – $2,096 |
| 13 | Anthem hmo/pos facility · other · outpatient | $2,202 | $2,202 | $2,202 – $2,202 |
| 14 | Anthem ppo facility · other · outpatient | $2,570 | $2,570 | $2,570 – $2,570 |
Last updated: Jun 27, 2026
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