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
Lehi, UT
See all hospitals reporting CPT 70487 →Price type
Catholic Health Initiatives Colorado’s median price of $1.5k is 245% above the median hospital's median price ($427), higher than 84% 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, 34 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 | Molina managed medicaid fee schedule · outpatient | $77.97 | $77.97 | $77.97 – $77.97 |
| 2 | Humana managed medicare fee schedule · outpatient | $89.91 | $89.91 | $89.91 – $89.91 |
| 3 | Medicare managed medicare fee schedule · outpatient | $89.91 | $89.91 | $89.91 – $89.91 |
| 4 | Medicare medicare fee schedule · outpatient | $89.91 | $89.91 | $89.91 – $89.91 |
| 5 | Regence commercial par fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 6 | Regence commercial ppo fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 7 | Regence commercial savewell fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 8 | Regence commercial uvu fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 9 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $210.77 | $210.77 | $210.77 – $210.77 |
| 10 | Cigna commercial local plus case rate · outpatient | $242.94 | $242.94 | $242.94 – $242.94 |
| 11 | Cigna commercial hmo/nbp/oap case rate · outpatient | $297.73 | $297.73 | $297.73 – $297.73 |
| 12 | UnitedHealthcare commercial ppo/pos/hmo case rate · outpatient | $443.97 | $443.97 | $443.97 – $443.97 |
| 13 | Cigna commercial all other case rate · outpatient | $504.64 | $504.64 | $504.64 – $504.64 |
| 14 | Regence commercial savewell percent of total billed charges · inpatientfrom % of charges | $1,117 | $1,117 | $1,117 – $1,117 |
| 15 | Molina commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $1,289 | $1,289 | $1,289 – $1,289 |
| 16 | Aetna commercial peak performance percent of total billed charges · inpatientfrom % of charges | $1,326 | $1,326 | $1,326 – $1,326 |
| 17 | Aetna commercial peak performance percent of total billed charges · outpatientfrom % of charges | $1,326 | $1,326 | $1,326 – $1,326 |
| 18 | Regence commercial uvu percent of total billed charges · inpatientfrom % of charges | $1,376 | $1,376 | $1,376 – $1,376 |
| 19 | Aetna commercial standard network percent of total billed charges · inpatientfrom % of charges | $1,582 | $1,582 | $1,582 – $1,582 |
| 20 | Aetna commercial standard network percent of total billed charges · outpatientfrom % of charges | $1,582 | $1,582 | $1,582 – $1,582 |
| 21 | Regence commercial ppo percent of total billed charges · inpatientfrom % of charges | $1,618 | $1,618 | $1,618 – $1,618 |
| 22 | Regence commercial par percent of total billed charges · inpatientfrom % of charges | $1,801 | $1,801 | $1,801 – $1,801 |
| 23 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $2,072 | $2,072 | $2,072 – $2,072 |
| 24 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $2,072 | $2,072 | $2,072 – $2,072 |
| 25 | Aetna commercial signature percent of total billed charges · inpatientfrom % of charges | $2,182 | $2,182 | $2,182 – $2,182 |
Last updated: Feb 11, 2026
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