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
HC CT MAXILLOFACIAL W/ CONTRAST
Ontario, OH
See all hospitals reporting CPT 70487 →Price type
Avita Ontario Hospital’s median price of $944 is 121% above the median hospital's median price ($427), higher than 73% 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, 27 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 | Medical Mutual commercial percent of total billed charges · bothfrom % of charges | $122.90 | $122.90 | $122.90 – $122.90 |
| 2 | Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 3 | Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 4 | UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 5 | Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges | $684.38 | $684.38 | $684.38 – $684.38 |
| 6 | Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges | $718.60 | $718.60 | $718.60 – $718.60 |
| 7 | Aetna medicare_outpatient percent of total billed charges · bothfrom % of charges | $925.75 | $925.75 | $925.75 – $925.75 |
| 8 | Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges | $925.75 | $925.75 | $925.75 – $925.75 |
| 9 | Humana medicare_outpatient percent of total billed charges · bothfrom % of charges | $925.75 | $925.75 | $925.75 – $925.75 |
| 10 | Molina medicare_outpatient percent of total billed charges · bothfrom % of charges | $925.75 | $925.75 | $925.75 – $925.75 |
| 11 | UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges | $925.75 | $925.75 | $925.75 – $925.75 |
| 12 | Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges | $944.27 | $944.27 | $944.27 – $944.27 |
| 13 | Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges | $1,659 | $1,659 | $1,659 – $1,659 |
| 14 | Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $1,960 | $1,960 | $1,960 – $1,960 |
| 15 | Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges | $1,976 | $1,976 | $1,976 – $1,976 |
| 16 | Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges | $2,148 | $2,148 | $2,148 – $2,148 |
| 17 | Cigna commercial percent of total billed charges · bothfrom % of charges | $2,524 | $2,524 | $2,524 – $2,524 |
| 18 | Aetna all_commercial percent of total billed charges · bothfrom % of charges | $2,754 | $2,754 | $2,754 – $2,754 |
| 19 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $2,754 | $2,754 | $2,754 – $2,754 |
| 20 | Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $3,186 | $3,186 | $3,186 – $3,186 |
| 21 | Anthem medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 22 | Humana medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 23 | Molina medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 24 | UnitedHealthcare medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 25 | Aetna medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
Last updated: Mar 23, 2026
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