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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Princeton, IN
See all hospitals reporting CPT 70487 →Price type
Deaconess Health System Gibson General Hospital’s median price of $422 is 1% below the median hospital's median price ($427), higher than 49% 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: 9 payers, 46 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 | Bcbs Il managed medicaid professional · fee schedule · both | $50.48 | $50.48 | $50.48 – $50.48 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $50.48 | $50.48 | $50.48 – $50.48 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 4 | Ambetter commercial professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 6 | Bcbs Il medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 8 | WellCare dual medicare/medicaid professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 10 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $91.30 | $91.30 | $42.40 – $140.20 |
| 11 | Anthem managed medicaid professional · fee schedule · both | $93.30 | $93.30 | $93.30 – $93.30 |
| 12 | Caresource managed medicaid professional · fee schedule · both | $93.30 | $93.30 | $93.30 – $93.30 |
| 13 | UnitedHealthcare managed medicaid professional · fee schedule · both | $93.30 | $93.30 | $93.30 – $93.30 |
| 14 | UnitedHealthcare commercial professional · fee schedule · both | $101.63 | $101.63 | $101.63 – $101.63 |
| 15 | Caresource commercial professional · fee schedule · both | $103.94 | $103.94 | $90.38 – $117.49 |
| 16 | Caresource commercial professional · percent of total billed charges · bothfrom % of charges | $159.78 | $159.78 | $74.20 – $245.35 |
| 17 | Anthem commercial professional · fee schedule · both | $215.82 | $174.01 | $90.38 – $215.82 |
| 18 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $273.90 | $273.90 | $127.20 – $420.60 |
| 19 | Aetna commercial professional · fee schedule · both | $317.36 | $317.36 | $317.36 – $317.36 |
| 20 | Cigna commercial professional · fee schedule · both | $317.36 | $317.36 | $317.36 – $317.36 |
| 21 | First Health commercial professional · fee schedule · both | $317.36 | $317.36 | $317.36 – $317.36 |
| 22 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $319.55 | $319.55 | $148.40 – $490.70 |
| 23 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $319.55 | $319.55 | $148.40 – $490.70 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $427.75 | $427.75 | $427.75 – $427.75 |
| 25 | Anthem managed medicaid facility · other · inpatient | $503.02 | $503.02 | $503.02 – $503.02 |
Last updated: Feb 11, 2026
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