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
Park, TX
See all hospitals reporting CPT 70487 →Price type
Ascension Cedar Park’s median price of $158 is 63% below the median hospital's median price ($427), higher than 5% 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: 8 payers, 39 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 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $157.71 | $157.71 | $157.71 – $157.71 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $157.71 | $157.71 | $157.71 – $157.71 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $157.71 | $157.71 | $157.71 – $157.71 |
| 4 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $157.71 | $157.71 | $157.71 – $157.71 |
| 5 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 6 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 7 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 8 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 9 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 10 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $158.05 | $158.05 | $158.05 – $158.05 |
| 11 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $158.38 | $158.38 | $158.38 – $158.38 |
| 12 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $158.38 | $158.38 | $158.38 – $158.38 |
| 13 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $158.38 | $158.38 | $158.38 – $158.38 |
| 14 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $158.38 | $158.38 | $158.38 – $158.38 |
| 15 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $193.15 | $193.15 | $193.15 – $193.15 |
| 16 | Humana 2668_humana hmo 20230701 other · outpatient | $196.63 | $196.63 | $196.63 – $196.63 |
| 17 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $228.85 | $228.85 | $228.85 – $228.85 |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $668.75 | $668.75 | $668.75 – $668.75 |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $668.75 | $668.75 | $668.75 – $668.75 |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $736.17 | $736.17 | $736.17 – $736.17 |
| 21 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $774.97 | $774.97 | $774.97 – $774.97 |
| 22 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $774.97 | $774.97 | $774.97 – $774.97 |
| 23 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $814.52 | $814.52 | $814.52 – $814.52 |
| 24 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $858.02 | $858.02 | $858.02 – $858.02 |
| 25 | Aetna 4486_aetna hmo 20250801 other · outpatient | $1,073 | $1,073 | $1,073 – $1,073 |
Last updated: Jan 1, 2026
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