CT scan of face and jaw with contrast dye at Columbia 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

CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL

Hudson, NY

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How this price compares nationally

Columbia Memorial Hospital’s median price of $73 is 83% below the median hospital's median price ($427), higher than 0% 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 Columbia Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 59 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 medicaid_fac professional · fee schedule · outpatient	$21.98	$21.98	$21.98 – $21.98
2	UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient	$21.98	$21.98	$21.98 – $21.98
3	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
4	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
5	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
6	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
7	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
8	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
9	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
10	UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient	$46.71	$46.71	$46.71 – $46.71
11	Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient	$50.75	$50.75	$50.75 – $50.75
12	Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient	$50.75	$50.75	$50.75 – $50.75
13	UnitedHealthcare all products_fac professional · fee schedule · outpatient	$52.75	$52.75	$52.75 – $52.75
14	UnitedHealthcare all products_nonfac professional · fee schedule · outpatient	$52.75	$52.75	$52.75 – $52.75
15	Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient	$53.74	$53.74	$53.74 – $53.74
16	Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient	$53.74	$53.74	$53.74 – $53.74
17	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
18	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
19	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
20	Blue Cross Blue Shield essentialnonaliessa_md_nonfac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
21	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
22	Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
23	Tricare all products_physician_fac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
24	Tricare all products_physician_nonfac professional · fee schedule · outpatient	$54.95	$54.95	$54.95 – $54.95
25	Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient	$55.90	$55.90	$55.90 – $55.90

Page 1 of 3 · 59 rates

Last updated: Dec 31, 2025

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