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
Lagrange, GA
See all hospitals reporting CPT 70486 →Price type
Wellstar West Georgia Medical Center’s median price of $190 is 41% below the median hospital's median price ($321), higher than 33% 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, 12 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 | Aetna medicare managed care plan facility · fee schedule · outpatient | $102.88 | $102.88 | $102.88 – $102.88 |
| 2 | Blue Cross Blue Shield medicare managed care plan facility · fee schedule · outpatient | $104.93 | $104.93 | $104.93 – $104.93 |
| 3 | Cigna medicare managed care plan facility · fee schedule · outpatient | $108.02 | $108.02 | $108.02 – $108.02 |
| 4 | Clover medicare managed care plan facility · fee schedule · outpatient | $110.08 | $110.08 | $110.08 – $110.08 |
| 5 | Oscar exchange facility · fee schedule · outpatient | $174.89 | $174.89 | $174.89 – $174.89 |
| 6 | Ambetter select medicare managed care plan facility · fee schedule · outpatient | $181.06 | $181.06 | $181.06 – $181.06 |
| 7 | Caresource exchange facility · fee schedule · outpatient | $201.64 | $201.64 | $201.64 – $201.64 |
| 8 | Cigna hmo facility · fee schedule · outpatient | $221.42 | $221.42 | $221.42 – $221.42 |
| 9 | Cigna ppo facility · fee schedule · outpatient | $221.42 | $221.42 | $221.42 – $221.42 |
| 10 | Blue Cross Blue Shield shbp other commercial plan facility · fee schedule · outpatient | $315.99 | $315.99 | $315.99 – $315.99 |
| 11 | Aetna hmo/pos/ppo facility · fee schedule · outpatient | $369.17 | $369.17 | $369.17 – $369.17 |
| 12 | Blue Cross Blue Shield hmo/pos facility · fee schedule · outpatient | $400.34 | $400.34 | $400.34 – $400.34 |
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.