How Much Does CT maxillofacial without contrast Cost?
CT maxillofacial without contrast (CPT 70486) costs vary by location and insurance at Medicare rates. Hospital outpatient rate: $107.
CT maxillofacial without contrast Cost by Location
Medicare-adjusted rates across CMS localities
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $148 | $193 — $297 |
| AL — ALABAMA | $116 | $150 — $231 |
| AR — ARKANSAS | $114 | $148 — $228 |
| AZ — ARIZONA | $126 | $163 — $251 |
| CA — BAKERSFIELD | $138 | $180 — $276 |
| CA — CHICO | $138 | $179 — $276 |
| CA — EL CENTRO | $138 | $179 — $276 |
| CA — FRESNO | $138 | $179 — $276 |
| CA — HANFORD-CORCORAN | $138 | $179 — $276 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $147 | $192 — $295 |
| CA — MADERA | $138 | $179 — $276 |
| CA — MERCED | $138 | $179 — $276 |
| CA — MODESTO | $138 | $179 — $276 |
| CA — NAPA | $161 | $210 — $322 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $147 | $191 — $294 |
| CA — REDDING | $138 | $179 — $276 |
| CA — REST OF CALIFORNIA | $138 | $179 — $276 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $139 | $180 — $277 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $145 | $189 — $290 |
| CA — SALINAS | $145 | $188 — $289 |
| CA — SAN DIEGO-CHULA VISTA-CARLSBAD | $148 | $193 — $296 |
| CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $171 | $222 — $342 |
| CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | $171 | $222 — $342 |
| CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | $175 | $227 — $350 |
| CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | $175 | $227 — $349 |
Frequently Asked Questions
How much does CT maxillofacial without contrast cost?
The Medicare facility rate for CT maxillofacial without contrast is variable. In a hospital outpatient setting, the rate is $107. At an ambulatory surgery center, the rate is $57. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does CT maxillofacial without contrast cost without insurance?
Without insurance, the cost of CT maxillofacial without contrast can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover CT maxillofacial without contrast?
Most commercial health insurance plans and Medicare cover CT maxillofacial without contrast when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.