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 dye
Jackson, GA
See all hospitals reporting CPT 70486 →Price type
Wellstar Sylvan Grove Hospital’s median price of $310 is 3% below the median hospital's median price ($321), higher than 49% 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: 3 payers, 5 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Cigna hmo facility · fee schedule · outpatient | $221.42 | $221.42 | $221.42 – $221.42 |
| 2 | Cigna ppo facility · fee schedule · outpatient | $221.42 | $221.42 | $221.42 – $221.42 |
| 3 | Blue Cross Blue Shield shbp other commercial plan facility · fee schedule · outpatient | $310.32 | $310.32 | $310.32 – $310.32 |
| 4 | Aetna hmo/pos/ppo facility · fee schedule · outpatient | $369.17 | $369.17 | $369.17 – $369.17 |
| 5 | Blue Cross Blue Shield hmo/pos facility · fee schedule · outpatient | $393.16 | $393.16 | $393.16 – $393.16 |
Last updated: Apr 1, 2026
See CT scan of face and jaw without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.