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 Contrast
Pierre, SD
See all hospitals reporting CPT 70487 →Price type
Avera St. Mary's Hospital’s median price of $1.1k is 166% above the median hospital's median price ($427), higher than 77% 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: 4 payers, 9 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 | Medica com fee schedule · outpatient | $268.29 | $268.29 | $268.29 – $268.29 |
| 2 | Medica ind fee schedule · outpatient | $268.29 | $268.29 | $268.29 – $268.29 |
| 3 | Wellmark hmo outpatient | $929.63 | $929.63 | $929.63 – $929.63 |
| 4 | Wellmark ppo case rate · outpatient | $929.63 | $929.63 | $929.63 – $929.63 |
| 5 | Healthpartners com fee schedule · outpatient | $1,173 | $1,173 | $1,173 – $1,173 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $2,576 | $2,576 | $2,576 – $2,576 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $3,028 | $3,028 | $3,028 – $3,028 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $3,122 | $3,122 | $3,122 – $3,122 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $3,122 | $3,122 | $3,122 – $3,122 |
Last updated: Apr 1, 2026
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