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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Malone, NY
See all hospitals reporting CPT 70487 →Price type
Alice Hyde Medical Center’s median price of $143 is 66% below the median hospital's median price ($427), higher than 4% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 20 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 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $93.90 | $93.90 | $93.90 – $93.90 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $98.45 | $98.45 | $51.01 – $145.88 |
| 3 | Excellus medicare advantage professional · fee schedule · both | $98.45 | $98.45 | $51.01 – $145.88 |
| 4 | Humana tricare professional · fee schedule · both | $121.97 | $121.97 | $121.97 – $121.97 |
| 5 | Excellus commercial professional · fee schedule · both | $147.93 | $147.93 | $75.81 – $220.04 |
| 6 | Excellus managed medicaid/essential plans professional · fee schedule · both | $151.06 | $151.06 | $42.69 – $259.42 |
| 7 | Aetna commercial professional · fee schedule · both | $163.77 | $163.77 | $83.93 – $243.60 |
| 8 | UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges | $203.18 | $203.18 | $24.50 – $381.85 |
| 9 | UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges | $203.18 | $203.18 | $24.50 – $381.85 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $197.27 | $205.56 | $95.00 – $332.68 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $239.12 | $239.12 | $122.73 – $355.50 |
| 12 | Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges | $568.89 | $568.89 | $68.60 – $1,069 |
| 13 | Excellus commercial facility · fee schedule · outpatient | $605.96 | $605.96 | $605.96 – $605.96 |
| 14 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $927.30 | $927.30 | $927.30 – $927.30 |
| 15 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $927.30 | $927.30 | $927.30 – $927.30 |
| 16 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $927.30 | $927.30 | $927.30 – $927.30 |
| 17 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $927.30 | $927.30 | $927.30 – $927.30 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,442 | $2,442 | $2,442 – $2,442 |
| 19 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,518 | $2,518 | $2,518 – $2,518 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,636 | $2,636 | $2,636 – $2,636 |
Last updated: Sep 8, 2026
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