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
HC CT, MAXILLOFACIAL AREA, WITH CONTRAST
Milwaukee, WI
See all hospitals reporting CPT 70487 →Price type
Froedtert Memorial Lutheran Hospital Inc’s median price of $1.0k is 135% above the median hospital's median price ($427), higher than 74% 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, 31 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 | Molina managed medicaid other · inpatient | $160.89 | $160.89 | $160.89 – $160.89 |
| 2 | Molina managed medicaid other · outpatient | $160.89 | $160.89 | $160.89 – $160.89 |
| 3 | Anthem managed medicaid other · inpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 4 | Anthem managed medicaid other · outpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 5 | UnitedHealthcare managed medicaid other · inpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 6 | UnitedHealthcare managed medicaid other · outpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 7 | Anthem medicare advantage other · inpatient | $175.70 | $175.70 | $175.70 – $175.70 |
| 8 | Anthem medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 9 | Humana medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 10 | Humana medicare advantage other · inpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 11 | Molina medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 12 | UnitedHealthcare medicare advantage/dual case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 13 | UnitedHealthcare medicare advantage/dual other · inpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 14 | Aetna medicare advantage case rate · outpatient | $184.52 | $184.52 | $184.52 – $184.52 |
| 15 | WellCare medicare advantage case rate · outpatient | $184.52 | $184.52 | $184.52 – $184.52 |
| 16 | Anthem blue preferred/pos other · inpatient | $736.85 | $736.85 | $736.85 – $736.85 |
| 17 | UnitedHealthcare nexus other · inpatient | $933.00 | $933.00 | $933.00 – $933.00 |
| 18 | UnitedHealthcare options ppo other · inpatient | $938.46 | $938.46 | $938.46 – $938.46 |
| 19 | Anthem blue preferred/pos fee schedule · outpatient | $1,466 | $1,083 | $316.58 – $1,466 |
| 20 | UnitedHealthcare nexus fee schedule · outpatient | $1,112 | $1,112 | $1,112 – $1,112 |
| 21 | UnitedHealthcare choice plus/navigate fee schedule · outpatient | $1,351 | $1,351 | $1,351 – $1,351 |
| 22 | UnitedHealthcare options ppo fee schedule · outpatient | $1,621 | $1,621 | $1,621 – $1,621 |
| 23 | Aetna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $2,047 | $2,047 | $1,949 – $2,145 |
| 24 | Aetna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $2,047 | $2,047 | $1,949 – $2,145 |
| 25 | Cigna all contracted commercial plans other · inpatient | $2,448 | $2,448 | $2,448 – $2,448 |
Last updated: Dec 31, 2025
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