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 Area; W/Cont
LAFAYETTE, IN
See all hospitals reporting CPT 70487 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $812 is 90% above the median hospital's median price ($427), higher than 69% 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: 9 payers, 17 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medicare medicare-wir-lafayette other · both | $185.58 | $185.58 | $185.58 – $185.58 |
| 2 | Bcbs In anthem blue access ppo-cid fee schedule · both | $253.77 | $253.77 | $253.77 – $253.77 |
| 3 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $253.77 | $253.77 | $253.77 – $253.77 |
| 4 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $410.47 | $410.47 | $410.47 – $410.47 |
| 5 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $448.75 | $448.75 | $448.75 – $448.75 |
| 6 | Medicaid in mcd-wir-lafayette fee schedule · both | $503.02 | $503.02 | $503.02 – $503.02 |
| 7 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette other · both | $542.63 | $542.63 | $542.63 – $542.63 |
| 8 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $603.63 | $603.63 | $603.63 – $603.63 |
| 9 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette other · both | $614.75 | $614.75 | $614.75 – $614.75 |
| 10 | Bcbs Il anthem blue access ppo with copps - lafayette other · both | $686.87 | $686.87 | $686.87 – $686.87 |
| 11 | Bcbs In anthem blue access ppo with copps - lafayette other · both | $686.87 | $686.87 | $686.87 – $686.87 |
| 12 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette other · both | $686.87 | $686.87 | $686.87 – $686.87 |
| 13 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $1,173 | $1,173 | $1,173 – $1,173 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $1,302 | $1,302 | $1,302 – $1,302 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $1,434 | $1,434 | $1,434 – $1,434 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $1,819 | $1,819 | $1,819 – $1,819 |
| 17 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $2,157 | $2,157 | $2,157 – $2,157 |
Last updated: Jan 1, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.