CT scan of face and jaw with contrast dye at Belton Regional Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Computed tomography, maxillofacial area; with contrast material(s)

Kansas City, MO

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How this price compares nationally

Belton Regional Medical Center’s median price of $455 is 7% above the median hospital's median price ($427), higher than 52% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at Belton Regional Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 35 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	UnitedHealthcare ksmgmcd fee schedule · outpatient	$101.17	$101.17	$101.17 – $101.17
2	Aetna Better Health mcd fee schedule · outpatient	$105.22	$105.22	$105.22 – $105.22
3	UnitedHealthcare momgmcd fee schedule · outpatient	$136.58	$136.58	$136.58 – $136.58
4	Aetna familyhealthplanmcd fee schedule · outpatient	$158.49	$158.49	$158.49 – $158.49
5	MultiPlan wcompmissouri fee schedule · outpatient	$182.32	$182.32	$145.30 – $219.33
6	Cigna surefit/localplus fee schedule · outpatient	$203.82	$203.82	$203.82 – $203.82
7	MultiPlan wcompkansas fee schedule · outpatient	$222.20	$222.20	$177.08 – $267.31
8	Cigna localkc fee schedule · outpatient	$242.96	$242.96	$242.96 – $242.96
9	Cigna comm fee schedule · outpatient	$303.29	$303.29	$303.29 – $303.29
10	UnitedHealthcare allpayerappendix fee schedule · outpatient	$401.74	$401.74	$401.74 – $401.74
11	Blue Cross Blue Shield blue-care(hmo) fee schedule · outpatient	$413.56	$413.56	$413.56 – $413.56
12	Blue Cross Blue Shield blueaccess fee schedule · outpatient	$413.56	$413.56	$413.56 – $413.56
13	Blue Cross Blue Shield preferred-careblue(ppo) fee schedule · outpatient	$413.56	$413.56	$413.56 – $413.56
14	Humana aso fee schedule · outpatient	$455.30	$455.30	$455.30 – $455.30
15	Humana epo fee schedule · outpatient	$455.30	$455.30	$455.30 – $455.30
16	Humana hmo fee schedule · outpatient	$455.30	$455.30	$455.30 – $455.30
17	Aetna ivlhix other · outpatient	$474.00	$474.00	$474.00 – $474.00
18	Aetna kccareplus case rate · outpatient	$498.00	$498.00	$498.00 – $498.00
19	Humana pos fee schedule · outpatient	$587.74	$587.74	$587.74 – $587.74
20	Humana ppo fee schedule · outpatient	$587.74	$587.74	$587.74 – $587.74
21	Aetna local case rate · outpatient	$667.00	$667.00	$667.00 – $667.00
22	Aetna national case rate · outpatient	$811.00	$811.00	$811.00 – $811.00
23	Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges	$1,594	$1,594	$1,594 – $1,594
24	Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges	$2,280	$2,280	$2,280 – $2,280
25	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$2,820	$2,820	$2,820 – $2,820

Page 1 of 2 · 35 rates

Last updated: Mar 1, 2026

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