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
CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL
Burlington, VT
See all hospitals reporting CPT 70486 →Price type
University of Vermont Medical Center Inc’s median price of $127 is 60% below the median hospital's median price ($321), higher than 16% 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: 7 payers, 25 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/essential plans professional · fee schedule · both | $56.52 | $56.52 | $27.11 – $85.92 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $73.44 | $76.74 | $33.16 – $126.91 |
| 3 | Humana tricare professional · fee schedule · both | $78.69 | $78.69 | $32.68 – $124.69 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $82.55 | $82.55 | $38.82 – $126.28 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $82.96 | $82.96 | $39.01 – $126.91 |
| 6 | Humana tricare facility · fee schedule · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $115.29 | $115.29 | $115.29 – $115.29 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $115.29 | $115.29 | $115.29 – $115.29 |
| 9 | Excellus managed medicaid/essential plans professional · fee schedule · both | $144.45 | $144.45 | $37.35 – $251.55 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $161.68 | $169.03 | $71.98 – $280.78 |
| 11 | Excellus commercial professional · fee schedule · both | $234.67 | $234.67 | $111.09 – $358.25 |
| 12 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $299.63 | $299.63 | $138.64 – $460.62 |
| 13 | Bcbs Vt indemnity professional · fee schedule · both | $368.32 | $368.32 | $170.70 – $565.94 |
| 14 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $368.32 | $368.32 | $170.70 – $565.94 |
| 15 | Cigna commercial professional · fee schedule · both | $368.32 | $368.32 | $170.70 – $565.94 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $391.80 | $391.80 | $181.58 – $602.01 |
| 17 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $817.60 | $817.60 | $817.60 – $817.60 |
| 18 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $1,402 | $1,402 | $1,402 – $1,402 |
| 19 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1,752 | $1,752 | $1,752 – $1,752 |
| 20 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,278 | $2,278 | $2,278 – $2,278 |
| 21 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $2,337 | $2,337 | $2,337 – $2,337 |
| 22 | Cigna commercial facility · fee schedule · outpatient | $2,365 | $2,365 | $2,365 – $2,365 |
| 23 | Bcbs Vt indemnity facility · fee schedule · outpatient | $2,727 | $2,727 | $2,727 – $2,727 |
| 24 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,872 | $2,872 | $2,872 – $2,872 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,874 | $2,874 | $2,874 – $2,874 |
Last updated: Oct 12, 2026
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