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
CT MAXILLOFACIAL W/DYE
St. Paul, MN
See all hospitals reporting CPT 70487 →Price type
Fairview Bethesda Hospital’s median price of $186 is 56% below the median hospital's median price ($427), higher than 14% 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, 61 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 | Ucare pmap fee schedule · both | $74.41 | $74.57 | $37.44 – $111.85 |
| 2 | Medica minnesota care/accessability/choice care government fee schedule · both | $79.74 | $79.15 | $38.86 – $118.86 |
| 3 | Bcbs Mn managed medicaid fee schedule · both | $85.32 | $84.69 | $41.58 – $127.18 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 6 | WellCare medicare advantage fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $102.66 | $102.98 | $51.81 – $154.47 |
| 8 | Medica medicare advantage fee schedule · both | $106.34 | $106.57 | $53.51 – $159.86 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $106.61 | $106.94 | $53.81 – $160.41 |
| 10 | Medica msho fee schedule · both | $108.35 | $108.58 | $54.52 – $162.87 |
| 11 | Sanford Health Plan medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 13 | WellCare medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 14 | Ucare medicare advantage/msho fee schedule · outpatient | $179.86 | $179.86 | $179.86 – $179.86 |
| 15 | Ucare pmap fee schedule · outpatient | $181.69 | $181.69 | $181.69 – $181.69 |
| 16 | Bcbs Mn medicare advantage fee schedule · outpatient | $184.29 | $184.29 | $184.29 – $184.29 |
| 17 | Medica medicare advantage fee schedule · outpatient | $187.83 | $187.83 | $187.83 – $187.83 |
| 18 | Ucare individual and family with m health fairview fee schedule · both | $260.50 | $261.31 | $131.47 – $391.97 |
| 19 | Ucare individual and family fee schedule · both | $274.41 | $275.27 | $138.50 – $412.91 |
| 20 | Medica bold fee schedule · both | $294.21 | $292.11 | $143.96 – $438.17 |
| 21 | Ucare individual and family with m health fairview fee schedule · outpatient | $311.69 | $311.69 | $311.69 – $311.69 |
| 22 | Medica vantage si fee schedule · both | $318.73 | $316.46 | $155.96 – $474.69 |
| 23 | Medica city of st paul and essential/uplan fee schedule · both | $326.90 | $324.57 | $159.96 – $486.86 |
| 24 | Medica individual and family, elect fee schedule · both | $326.90 | $324.57 | $159.96 – $486.86 |
| 25 | Medica choice fee schedule · both | $338.35 | $335.94 | $165.56 – $503.91 |
Last updated: Jan 29, 2026
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