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
PAUL, MN
See all hospitals reporting CPT 70487 →Price type
Gillette Children's Specialty Healthcare’s median price of $1.5k is 253% above the median hospital's median price ($427), higher than 85% 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: 7 payers, 24 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 managed medicaid professional · fee schedule · outpatient | $58.25 | $58.25 | $38.17 – $78.33 |
| 2 | UnitedHealthcare commercial professional · fee schedule · outpatient | $133.38 | $133.38 | $88.75 – $178.00 |
| 3 | Medica commercial professional · fee schedule · outpatient | $143.82 | $143.82 | $96.48 – $191.16 |
| 4 | Ucare managed medicaid facility · fee schedule · outpatient | $147.17 | $147.17 | $147.17 – $147.17 |
| 5 | Blue Cross Blue Shield managed medicaid professional · fee schedule · outpatient | $148.78 | $148.78 | $99.60 – $197.95 |
| 6 | Blue Cross Blue Shield commercial professional · fee schedule · outpatient | $153.83 | $153.83 | $103.87 – $203.79 |
| 7 | Aetna managed medicare facility · case rate · outpatient | $185.11 | $185.11 | $185.11 – $185.11 |
| 8 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $744.47 | $744.47 | $744.47 – $744.47 |
| 9 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $754.82 | $754.82 | $754.82 – $754.82 |
| 10 | Ucare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,090 | $1,090 | $1,090 – $1,090 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,461 | $1,461 | $1,461 – $1,461 |
| 12 | Medica managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,537 | $1,537 | $1,537 – $1,537 |
| 13 | Medica managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,537 | $1,537 | $1,537 – $1,537 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,630 | $1,630 | $1,630 – $1,630 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,630 | $1,630 | $1,630 – $1,630 |
| 16 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,635 | $1,635 | $1,635 – $1,635 |
| 17 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,635 | $1,635 | $1,635 – $1,635 |
| 18 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,922 | $1,922 | $1,922 – $1,922 |
| 19 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,017 | $2,017 | $2,017 – $2,017 |
| 20 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,017 | $2,017 | $2,017 – $2,017 |
| 21 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,044 | $2,044 | $2,044 – $2,044 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,044 | $2,044 | $2,044 – $2,044 |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,316 | $2,316 | $2,316 – $2,316 |
| 24 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,316 | $2,316 | $2,316 – $2,316 |
Last updated: Jan 1, 2026
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