CT scan of face and jaw with contrast dye at Caldwell Memorial Hospital

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

HC CT MAXILLOFACIAL W CONT

Lenoir, NC

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How this price compares nationally

Caldwell Memorial Hospital’s median price of $635 is 49% above the median hospital's median price ($427), higher than 61% 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 Caldwell Memorial Hospital

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$161.55	$161.55	$161.55 – $161.55
2	Optum vaccn facility · fee schedule · outpatient	$166.55	$166.55	$166.55 – $166.55
3	Optum vaccn behavioral health facility · fee schedule · outpatient	$166.55	$166.55	$166.55 – $166.55
4	Humana medicare hmo facility · fee schedule · outpatient	$173.21	$173.21	$173.21 – $173.21
5	Humana medicare ppo facility · fee schedule · outpatient	$173.21	$173.21	$173.21 – $173.21
6	Cigna medicare advantage facility · fee schedule · outpatient	$174.88	$174.88	$174.88 – $174.88
7	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$174.88	$174.88	$174.88 – $174.88
8	Aetna medicare advantage facility · fee schedule · outpatient	$176.54	$176.54	$176.54 – $176.54
9	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$632.28	$632.28	$632.28 – $632.28
10	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$632.28	$632.28	$632.28 – $632.28
11	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$632.28	$632.28	$632.28 – $632.28
12	Blue Cross Blue Shield blue value facility · fee schedule · outpatient	$694.32	$694.32	$694.32 – $694.32
13	Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges	$938.88	$938.88	$938.88 – $938.88
14	Blue Cross Blue Shield blue select/hmo/ppo facility · fee schedule · outpatient	$967.41	$967.41	$967.41 – $967.41
15	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,323	$1,323	$1,323 – $1,323
16	UnitedHealthcare individual exchange facility · per diem · outpatient	$1,472	$1,472	$1,472 – $1,472
17	Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges	$1,552	$1,552	$1,552 – $1,552
18	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$1,555	$1,555	$1,555 – $1,555
19	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,708	$1,708	$1,708 – $1,708
20	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,731	$1,731	$1,731 – $1,731
21	UnitedHealthcare commercial facility · per diem · outpatient	$1,742	$1,742	$1,742 – $1,742
22	Cigna commercial facility · per diem · outpatient	$2,266	$2,266	$2,266 – $2,266
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,347	$2,347	$2,347 – $2,347
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,347	$2,347	$2,347 – $2,347

Last updated: Jun 4, 2026

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