Ct scan of face without contrast
Medicare pricing data for 31,586 providers across 52 states
This procedure has a 5.9x markup — hospitals charge $370.04 but Medicare allows only $63.04. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Ct scan of face without contrast (HCPCS code 70486) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.04, but hospitals typically charge $370.04 — a 5.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $63.04, your out-of-pocket cost would be approximately $12.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $47.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $80 | $702 | 93 | 1,192 | +26.4% |
| Florida | $78 | $431 | 2,259 | 44,924 | +23.3% |
| District of Columbia | $77 | $383 | 94 | 1,901 | +21.5% |
| Arizona | $75 | $482 | 510 | 11,663 | +18.6% |
| Nevada | $75 | $517 | 282 | 4,039 | +18.3% |
| Maryland | $75 | $358 | 616 | 13,007 | +18.2% |
| California | $75 | $413 | 2,797 | 45,435 | +18.2% |
| New Jersey | $73 | $434 | 760 | 13,241 | +15.8% |
| Montana | $72 | $307 | 116 | 1,676 | +13.9% |
| Kansas | $70 | $296 | 353 | 6,981 | +11.0% |
| Wyoming | $70 | $487 | 61 | 838 | +10.8% |
| Texas | $69 | $478 | 2,230 | 41,669 | +10.1% |
| Georgia | $69 | $428 | 941 | 15,313 | +8.8% |
| Utah | $68 | $283 | 273 | 3,730 | +8.3% |
| New York | $68 | $396 | 1,544 | 30,050 | +8.1% |
| Mississippi | $68 | $442 | 283 | 6,542 | +7.5% |
| Puerto Rico | $67 | $142 | 114 | 512 | +6.8% |
| South Carolina | $67 | $424 | 625 | 11,140 | +6.0% |
| Colorado | $63 | $352 | 550 | 10,091 | -0.6% |
| Alabama | $61 | $236 | 541 | 9,613 | -3.3% |
| Tennessee | $60 | $376 | 911 | 13,714 | -4.5% |
| Washington | $60 | $291 | 706 | 8,861 | -4.7% |
| Illinois | $60 | $359 | 1,298 | 21,846 | -5.2% |
| Oregon | $59 | $300 | 428 | 4,898 | -5.9% |
| North Carolina | $58 | $360 | 1,210 | 17,248 | -7.3% |
| Louisiana | $58 | $318 | 474 | 7,404 | -7.6% |
| New Mexico | $57 | $322 | 172 | 1,927 | -9.6% |
| Rhode Island | $56 | $293 | 131 | 1,902 | -10.8% |
| Connecticut | $56 | $320 | 451 | 5,625 | -11.3% |
| Indiana | $55 | $334 | 601 | 9,493 | -12.5% |
| Virginia | $54 | $341 | 795 | 13,872 | -13.7% |
| Hawaii | $54 | $256 | 119 | 1,229 | -13.9% |
| Minnesota | $54 | $323 | 1,130 | 16,001 | -14.5% |
| North Dakota | $53 | $262 | 99 | 1,127 | -15.3% |
| Wisconsin | $53 | $520 | 760 | 8,195 | -16.5% |
| Missouri | $53 | $286 | 702 | 12,178 | -16.6% |
| Maine | $52 | $248 | 111 | 1,629 | -16.8% |
| Oklahoma | $52 | $304 | 322 | 5,745 | -17.2% |
| Delaware | $52 | $255 | 83 | 1,797 | -17.7% |
| Iowa | $52 | $361 | 315 | 4,430 | -18.2% |
| Nebraska | $52 | $246 | 241 | 4,394 | -18.3% |
| Kentucky | $51 | $263 | 364 | 5,445 | -19.0% |
| Idaho | $50 | $260 | 178 | 3,565 | -20.7% |
| Massachusetts | $49 | $260 | 832 | 12,366 | -21.7% |
| Pennsylvania | $49 | $294 | 1,389 | 20,114 | -21.8% |
| Arkansas | $48 | $237 | 317 | 4,689 | -24.0% |
| New Hampshire | $47 | $449 | 178 | 2,167 | -25.3% |
| Michigan | $45 | $246 | 763 | 11,746 | -28.1% |
| South Dakota | $45 | $191 | 113 | 989 | -28.3% |
| Ohio | $45 | $304 | 1,106 | 14,616 | -28.5% |
| West Virginia | $42 | $261 | 178 | 2,580 | -32.9% |
| Vermont | $41 | $255 | 35 | 704 | -34.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber