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
Newburgh, IN
See all hospitals reporting CPT 70487 →Price type
Deaconess Hospital, Inc’s median price of $180 is 58% below the median hospital's median price ($427), higher than 13% 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: 13 payers, 65 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 | $84.68 | $50.48 – $153.07 |
| 3 | Ambetter commercial professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 4 | Anthem 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 dual medicare/medicaid professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 8 | Humana fide-snp professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 9 | Humana medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 10 | Molina dual medicare/medicaid professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 11 | Molina fide-snp professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 12 | UnitedHealthcare government professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 14 | WellCare dual medicare/medicaid professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 15 | WellCare medicare advantage professional · fee schedule · both | $90.38 | $90.38 | $90.38 – $90.38 |
| 16 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $91.30 | $91.30 | $42.40 – $140.20 |
| 17 | Anthem managed medicaid professional · fee schedule · both | $93.30 | $93.30 | $93.30 – $93.30 |
| 18 | Caresource managed medicaid professional · fee schedule · both | $93.30 | $93.30 | $93.30 – $93.30 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $101.63 | $101.63 | $101.63 – $101.63 |
| 20 | Aetna Better Health managed medicaid professional · fee schedule · both | $101.78 | $101.78 | $50.48 – $153.07 |
| 21 | Molina managed medicaid professional · fee schedule · both | $101.78 | $101.78 | $50.48 – $153.07 |
| 22 | Caresource commercial professional · fee schedule · both | $117.49 | $117.49 | $117.49 – $117.49 |
| 23 | UnitedHealthcare managed medicaid professional · fee schedule · both | $123.19 | $123.19 | $93.30 – $153.07 |
| 24 | Humana managed medicaid professional · fee schedule · both | $153.07 | $153.07 | $153.07 – $153.07 |
| 25 | Caresource commercial professional · percent of total billed charges · bothfrom % of charges | $159.78 | $159.78 | $74.20 – $245.35 |
Last updated: Feb 11, 2026
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