CT scan of face and jaw with contrast dye at Essentia Health St. Mary's - Detroit Lakes

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

CT MAXILLOFACIAL W/DYE

1027 Washington Ave. Detroit Lakes, MN

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How this price compares nationally

Essentia Health St. Mary's - Detroit Lakes’s median price of $881 is 106% 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.

Payers reporting CPT 70487 at Essentia Health St. Mary's - Detroit Lakes

Negotiated rates from the hospital’s own file: 7 payers, 27 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	Blue Cross Blue Shield medicaid facility · fee schedule · outpatient	$122.93	$122.93	$122.93 – $122.93
2	Blue Cross Blue Shield medicare facility · case rate · outpatient	$187.11	$187.11	$187.11 – $187.11
3	Healthpartners medicare facility · case rate · outpatient	$187.11	$187.11	$187.11 – $187.11
4	Medica medicare facility · case rate · outpatient	$187.11	$187.11	$187.11 – $187.11
5	Ucare medicare facility · case rate · outpatient	$187.11	$187.11	$187.11 – $187.11
6	UnitedHealthcare medicare facility · case rate · outpatient	$187.11	$187.11	$187.11 – $187.11
7	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$356.04	$356.04	$356.04 – $356.04
8	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$761.27	$761.27	$761.27 – $761.27
9	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$808.82	$808.82	$808.82 – $808.82
10	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$880.65	$880.65	$880.65 – $880.65
11	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$880.65	$880.65	$880.65 – $880.65
12	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,288	$1,288	$1,288 – $1,288
13	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,288	$1,288	$1,288 – $1,288
14	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$1,308	$1,308	$1,308 – $1,308
15	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$1,315	$1,315	$1,315 – $1,315
16	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$1,366	$1,366	$1,366 – $1,366
17	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,404	$1,404	$1,245 – $1,564
18	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,436	$1,436	$1,436 – $1,436
19	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,436	$1,436	$1,436 – $1,436
20	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$1,442	$1,442	$1,442 – $1,442
21	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$1,454	$1,454	$1,454 – $1,454
22	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,487	$1,487	$1,487 – $1,487
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,487	$1,487	$1,487 – $1,487
24	Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges	$1,519	$1,519	$1,519 – $1,519
25	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,644	$1,644	$1,644 – $1,644

Page 1 of 2 · 27 rates

Last updated: Jan 1, 2026

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