CT scan of face and jaw with contrast dye at Chilton 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

CT Maxillofacial W

Pompton Plains, NJ

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How this price compares nationally

Chilton Medical Center’s median price of $292 is 32% below the median hospital's median price ($427), higher than 36% 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 Chilton Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 61 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	Cigna cmc cigna local plus per diem · both	$185.30	$185.30	$185.30 – $185.30
2	Cigna cmc cigna local plus per diem · outpatient	$185.30	$185.30	$185.30 – $185.30
3	Aetna cmc aetna nnj prime other · both	$194.52	$194.52	$194.52 – $194.52
4	Aetna cmc aetna ahs employee other · both	$206.56	$206.56	$206.56 – $206.56
5	Aetna cmc aetna ahs employee other · outpatient	$206.56	$206.56	$206.56 – $206.56
6	Aetna cmc aetna medicare fee schedule · both	$206.56	$206.56	$206.56 – $206.56
7	Aetna cmc aetna medicare fee schedule · outpatient	$206.56	$206.56	$206.56 – $206.56
8	Aetna cmc aetna nnj prime other · outpatient	$206.56	$206.56	$206.56 – $206.56
9	Ambetter cmc ambetter wellcare of nj other · both	$206.56	$206.56	$206.56 – $206.56
10	Ambetter cmc ambetter wellcare of nj other · outpatient	$206.56	$206.56	$206.56 – $206.56
11	Anthem cmc horizon braven other · both	$206.56	$206.56	$206.56 – $206.56
12	Anthem cmc horizon braven other · outpatient	$206.56	$206.56	$206.56 – $206.56
13	Blue Cross Blue Shield cmc horizon braven other · both	$206.56	$206.56	$206.56 – $206.56
14	Blue Cross Blue Shield cmc horizon braven other · outpatient	$206.56	$206.56	$206.56 – $206.56
15	Cigna cmc cigna medicare fee schedule · both	$206.56	$206.56	$206.56 – $206.56
16	Cigna cmc cigna medicare fee schedule · outpatient	$206.56	$206.56	$206.56 – $206.56
17	Highmark cmc highmark wholecare / gateway health plan inc other · both	$206.56	$206.56	$206.56 – $206.56
18	Highmark cmc highmark wholecare / gateway health plan inc other · outpatient	$206.56	$206.56	$206.56 – $206.56
19	Highmark cmc horizon braven other · both	$206.56	$206.56	$206.56 – $206.56
20	Highmark cmc horizon braven other · outpatient	$206.56	$206.56	$206.56 – $206.56
21	Tricare cmc tricare contract other · both	$206.56	$206.56	$206.56 – $206.56
22	Tricare cmc tricare contract other · outpatient	$206.56	$206.56	$206.56 – $206.56
23	Tricare cmc tricare-east (humana military) other · both	$206.56	$206.56	$206.56 – $206.56
24	Tricare cmc tricare-east (humana military) other · outpatient	$206.56	$206.56	$206.56 – $206.56
25	WellCare cmc wellcare phw other · both	$206.56	$206.56	$206.56 – $206.56

Page 1 of 3 · 61 rates

Last updated: Apr 1, 2026

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