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
Elizabethtown, NY
See all hospitals reporting CPT 70487 →Price type
Elizabethtown Community Hospital’s median price of $215 is 50% below the median hospital's median price ($427), higher than 21% 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: 7 payers, 32 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 managed medicaid/essential plans professional · fee schedule · both | $100.45 | $100.45 | $100.45 – $100.45 |
| 2 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid professional · fee schedule · both | $129.15 | $129.15 | $129.15 – $129.15 |
| 3 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $129.15 | $129.15 | $129.15 – $129.15 |
| 4 | Humana tricare professional · fee schedule · both | $136.32 | $136.32 | $136.32 – $136.32 |
| 5 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $141.30 | $141.30 | $141.30 – $141.30 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $143.50 | $143.50 | $143.50 – $143.50 |
| 7 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $143.50 | $143.50 | $143.50 – $143.50 |
| 8 | Excellus medicare advantage professional · fee schedule · both | $143.50 | $143.50 | $143.50 – $143.50 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $143.50 | $143.50 | $143.50 – $143.50 |
| 10 | Humana tricare facility · fee schedule · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 11 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $169.92 | $169.92 | $156.14 – $183.70 |
| 12 | Blue Cross Blue Shield blue access professional · fee schedule · both | $175.19 | $175.19 | $175.19 – $175.19 |
| 13 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind professional · fee schedule · both | $175.19 | $175.19 | $175.19 – $175.19 |
| 14 | Highmark ind/fep/ppo/hmo professional · fee schedule · both | $183.12 | $183.12 | $183.12 – $183.12 |
| 15 | Excellus commercial professional · fee schedule · both | $220.04 | $220.04 | $220.04 – $220.04 |
| 16 | Blue Cross Blue Shield individual network professional · fee schedule · both | $229.60 | $229.60 | $229.60 – $229.60 |
| 17 | Aetna commercial professional · fee schedule · both | $230.40 | $230.40 | $230.40 – $230.40 |
| 18 | Excellus managed medicaid/essential plans professional · fee schedule · both | $259.42 | $259.42 | $259.42 – $259.42 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $355.50 | $355.50 | $355.50 – $355.50 |
| 20 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 21 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 22 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 23 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $897.56 | $897.56 | $897.56 – $897.56 |
| 24 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $944.80 | $944.80 | $944.80 – $944.80 |
| 25 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $1,394 | $1,394 | $1,394 – $1,394 |
Last updated: Apr 28, 2026
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