CT scan of face and jaw without contrast dye at Troy Community Hospital Incorporated

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT Maxillofacial W/O Contrast

Troy, PA

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How this price compares nationally

Troy Community Hospital Incorporated’s median price of $444 is 39% above the median hospital's median price ($321), higher than 57% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70486 at Troy Community Hospital Incorporated

Negotiated rates from the hospital’s own file: 6 payers, 24 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	UnitedHealthcare managed medicaid facility · fee schedule · outpatient	$130.00	$130.00	$130.00 – $130.00
2	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$180.70	$180.70	$180.70 – $180.70
3	Aetna better health facility · fee schedule · outpatient	$183.30	$183.30	$183.30 – $183.30
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$444.11	$444.11	$444.11 – $444.11
5	Tricare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$444.11	$444.11	$444.11 – $444.11
6	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$444.11	$444.11	$444.11 – $444.11
7	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$459.65	$459.65	$459.65 – $459.65
8	Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$488.52	$488.52	$488.52 – $488.52
9	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$488.52	$488.52	$488.52 – $488.52
10	Blue Cross Blue Shield highmark wholecare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$518.12	$518.12	$518.12 – $518.12
11	WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$518.12	$518.12	$518.12 – $518.12
12	WellCare fidelis medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$838.87	$838.87	$838.87 – $838.87
13	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · bothfrom % of charges	$1,234	$1,234	$1,234 – $1,234
14	Blue Cross Blue Shield highmark facility · percent of total billed charges · bothfrom % of charges	$1,389	$1,389	$1,389 – $1,389
15	Blue Cross Blue Shield highmark facility · percent of total billed charges · outpatientfrom % of charges	$1,389	$1,389	$1,389 – $1,389
16	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · bothfrom % of charges	$1,389	$1,389	$1,389 – $1,389
17	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1,389	$1,389	$1,389 – $1,389
18	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · bothfrom % of charges	$1,389	$1,389	$1,389 – $1,389
19	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,389	$1,389	$1,389 – $1,389
20	Blue Cross Blue Shield first priority facility · percent of total billed charges · bothfrom % of charges	$1,554	$1,554	$1,554 – $1,554
21	Blue Cross Blue Shield first priority facility · percent of total billed charges · outpatientfrom % of charges	$1,554	$1,554	$1,554 – $1,554
22	UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges	$1,791	$1,791	$1,791 – $1,791
23	UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges	$1,791	$1,791	$1,791 – $1,791
24	WellCare managed medicaid facility · other · outpatient	$2,467	$2,467	$2,467 – $2,467

Last updated: Mar 31, 2026

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