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
Dodge City, KS
See all hospitals reporting CPT 70487 →Price type
Commonspirit Kansas, Inc.’s median price of $866 is 103% above the median hospital's median price ($427), higher than 71% 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, 17 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 | Aetna managed medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 3 | Cigna managed medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 4 | Humana managed medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 6 | Medicare medicare fee schedule · outpatient | $88.85 | $88.85 | $88.85 – $88.85 |
| 7 | Medicare medicare other · inpatient | $176.33 | $176.33 | $176.33 – $176.33 |
| 8 | Bcbs Ks commercial ppo/hmo other · inpatient | $538.19 | $538.19 | $538.19 – $538.19 |
| 9 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $564.78 | $564.78 | $564.78 – $564.78 |
| 10 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $865.90 | $865.90 | $865.90 – $865.90 |
| 11 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $865.90 | $865.90 | $865.90 – $865.90 |
| 12 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $921.17 | $921.17 | $921.17 – $921.17 |
| 13 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $1,053 | $1,053 | $1,053 – $1,053 |
| 14 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $1,053 | $1,053 | $1,053 – $1,053 |
| 15 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $1,053 | $1,053 | $1,053 – $1,053 |
| 16 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $1,184 | $1,184 | $1,184 – $1,184 |
| 17 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $1,184 | $1,184 | $1,184 – $1,184 |
Last updated: Feb 5, 2026
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