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
PR CT MAXILLOFACIAL W CONTRAST
Minneapolis, MN
See all hospitals reporting CPT 70487 →Price type
Fairview Health Services’s median price of $160 is 63% below the median hospital's median price ($427), higher than 5% 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: 12 payers, 77 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 government transplant fee schedule · both | $55.93 | $65.29 | $37.44 – $111.85 |
| 2 | Ucare pmap fee schedule · both | $55.93 | $65.29 | $37.44 – $111.85 |
| 3 | Medica managed medicaid/accessability fee schedule · both | $59.30 | $69.08 | $38.86 – $118.86 |
| 4 | Bcbs Mn pmap fee schedule · both | $63.45 | $73.92 | $41.58 – $127.18 |
| 5 | Sanford Health Plan medicare advantage fee schedule · both | $74.27 | $86.72 | $49.82 – $148.53 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $74.27 | $86.72 | $49.82 – $148.53 |
| 7 | WellCare medicare advantage fee schedule · both | $74.27 | $86.72 | $49.82 – $148.53 |
| 8 | Bcbs Mn medicare advantage fee schedule · both | $77.24 | $90.19 | $51.81 – $154.47 |
| 9 | Medica medicare advantage non-snp fee schedule · both | $79.93 | $93.31 | $53.51 – $159.86 |
| 10 | Optum medicaid transplant fee schedule · both | $80.21 | $93.66 | $53.81 – $160.41 |
| 11 | Optum medicare transplant fee schedule · both | $80.21 | $93.66 | $53.81 – $160.41 |
| 12 | Ucare medicare advantage/msho fee schedule · both | $80.21 | $93.66 | $53.81 – $160.41 |
| 13 | Medica msho/medicare advantage snp fee schedule · both | $81.44 | $95.07 | $54.52 – $162.87 |
| 14 | Cigna lifesource transplant percent of total billed charges · bothfrom % of charges | $108.24 | $108.24 | $107.84 – $108.64 |
| 15 | Sanford Health Plan commercial percent of total billed charges · bothfrom % of charges | $113.85 | $113.85 | $113.42 – $114.27 |
| 16 | Humana transplant percent of total billed charges · bothfrom % of charges | $125.64 | $125.64 | $125.17 – $126.10 |
| 17 | Optum commercial transplant percent of total billed charges · bothfrom % of charges | $125.64 | $125.64 | $125.17 – $126.10 |
| 18 | Aetna transplant percent of total billed charges · bothfrom % of charges | $131.44 | $131.44 | $130.95 – $131.92 |
| 19 | Aetna transplant other · inpatient | $137.64 | $137.64 | $137.64 – $137.64 |
| 20 | First Health commercial percent of total billed charges · bothfrom % of charges | $158.50 | $158.50 | $157.91 – $159.08 |
| 21 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $164.30 | $164.30 | $163.69 – $164.90 |
| 22 | Ucare pmap other · inpatient | $174.15 | $174.15 | $174.15 – $174.15 |
| 23 | Optum medicaid transplant fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 24 | Sanford Health Plan medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 25 | UnitedHealthcare medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
Last updated: Feb 6, 2026
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