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/dye
Butler, PA
See all hospitals reporting CPT 70487 →Price type
Butler Healthcare Providers_ DBA Butler Memorial Hospital’s median price of $563 is 32% above the median hospital's median price ($427), higher than 58% 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: 9 payers, 28 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 | Medicaid traditional medicaid facility · fee schedule · outpatient | $134.00 | $134.00 | $134.00 – $134.00 |
| 2 | UnitedHealthcare mcd advantage facility · fee schedule · outpatient | $134.00 | $134.00 | $134.00 – $134.00 |
| 3 | Aetna mcd advantage facility · case rate · outpatient | $154.10 | $154.10 | $154.10 – $154.10 |
| 4 | Tricare tricare facility · case rate · outpatient | $171.26 | $171.26 | $171.26 – $171.26 |
| 5 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $172.97 | $172.97 | $171.26 – $174.68 |
| 6 | Aetna mcr advantage facility · case rate · outpatient | $176.39 | $176.39 | $176.39 – $176.39 |
| 7 | Humana mcr advantage facility · case rate · outpatient | $178.11 | $178.11 | $178.11 – $178.11 |
| 8 | Devoted mcr advantage facility · case rate · outpatient | $181.53 | $181.53 | $181.53 – $181.53 |
| 9 | Aetna auto network facility · case rate · outpatient | $188.38 | $188.38 | $188.38 – $188.38 |
| 10 | Highmark chip facility · case rate · outpatient | $215.17 | $215.17 | $215.17 – $215.17 |
| 11 | Highmark chip facility · percent of total billed charges · outpatientfrom % of charges | $280.50 | $280.50 | $280.50 – $280.50 |
| 12 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $280.50 | $280.50 | $280.50 – $280.50 |
| 13 | Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $280.50 | $280.50 | $280.50 – $280.50 |
| 14 | Highmark mcr advantage facility · case rate · outpatient | $284.61 | $284.61 | $167.83 – $401.39 |
| 15 | Highmark commercial facility · case rate · outpatient | $354.16 | $313.71 | $225.73 – $361.25 |
| 16 | Aetna rental network facility · fee schedule · outpatient | $389.00 | $389.00 | $389.00 – $389.00 |
| 17 | Cigna commercial facility · case rate · outpatient | $391.29 | $391.29 | $391.29 – $391.29 |
| 18 | Aetna commercial facility · case rate · outpatient | $393.89 | $393.89 | $393.89 – $393.89 |
| 19 | Aetna hmo facility · case rate · outpatient | $393.89 | $393.89 | $393.89 – $393.89 |
| 20 | UnitedHealthcare commercial facility · case rate · outpatient | $439.21 | $439.21 | $439.21 – $439.21 |
| 21 | Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges | $600.00 | $600.00 | $600.00 – $600.00 |
| 22 | Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $600.00 | $600.00 | $600.00 – $600.00 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $750.00 | $750.00 | $750.00 – $750.00 |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $750.00 | $750.00 | $750.00 – $750.00 |
| 25 | Aetna rental network facility · percent of total billed charges · outpatientfrom % of charges | $975.00 | $975.00 | $975.00 – $975.00 |
Last updated: Jan 1, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.