CT scan of face and jaw without contrast dye at Webster Memorial Hospital Inc

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 DYE

Webster Springs, WV

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How this price compares nationally

Webster Memorial Hospital Inc’s median price of $91 is 71% below the median hospital's median price ($321), higher than 2% 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 Webster Memorial Hospital Inc

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Highmark medicare advantage professional · fee schedule · both	$77.10	$77.48	$39.11 – $116.22
2	Humana medicare advantage professional · fee schedule · both	$77.10	$77.48	$39.11 – $116.22
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$77.10	$77.48	$39.11 – $116.22
4	Aetna medicare advantage professional · fee schedule · both	$84.81	$85.22	$43.02 – $127.84
5	Aetna Better Health managed medicaid professional · fee schedule · both	$88.64	$88.64	$88.64 – $88.64
6	Highmark managed medicaid professional · fee schedule · both	$88.64	$88.64	$88.64 – $88.64
7	Aetna Better Health managed medicaid facility · fee schedule · outpatient	$91.48	$91.48	$91.48 – $91.48
8	Highmark managed medicaid facility · case rate · outpatient	$91.48	$91.48	$91.48 – $91.48
9	Aetna commercial professional · fee schedule · both	$94.79	$94.21	$46.52 – $141.31
10	First Health commercial professional · fee schedule · both	$94.79	$94.21	$46.52 – $141.31
11	Cigna commercial professional · fee schedule · both	$132.65	$119.21	$52.60 – $158.95
12	Highmark commercial professional · fee schedule · both	$164.01	$158.52	$73.77 – $237.79
13	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,908,475	$3,908,475	$3,908,475 – $3,908,475
14	Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,908,475	$3,908,475	$3,908,475 – $3,908,475
15	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,908,475	$3,908,475	$3,908,475 – $3,908,475
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,908,475	$3,908,475	$3,908,475 – $3,908,475
17	Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,306,618	$4,306,618	$4,306,618 – $4,306,618
18	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,429,605	$4,429,605	$4,429,605 – $4,429,605
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,429,605	$4,429,605	$4,429,605 – $4,429,605
20	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,429,605	$4,429,605	$4,429,605 – $4,429,605
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,429,605	$4,429,605	$4,429,605 – $4,429,605
22	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,721,438	$4,721,438	$4,721,438 – $4,721,438
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,721,438	$4,721,438	$4,721,438 – $4,721,438
24	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,721,438	$4,721,438	$4,721,438 – $4,721,438
25	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,721,438	$4,721,438	$4,721,438 – $4,721,438

Page 1 of 2 · 27 rates

Last updated: Jul 31, 2026

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