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 W CONTRAST
Grand Rapids, MN
See all hospitals reporting CPT 70487 →Price type
Grand Itasca Clinic and Hospital’s median price of $179 is 58% below the median hospital's median price ($427), higher than 12% 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, 48 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 | Medica accessability professional · fee schedule · both | $79.74 | $79.15 | $38.86 – $118.86 |
| 2 | Medica managed medicaid professional · fee schedule · both | $79.74 | $79.15 | $38.86 – $118.86 |
| 3 | Medica medicare advantage non-snp professional · fee schedule · both | $79.74 | $79.15 | $38.86 – $118.86 |
| 4 | Ucare pmap professional · fee schedule · both | $80.57 | $80.57 | $40.41 – $120.73 |
| 5 | Bcbs Mn pmap professional · fee schedule · both | $85.32 | $84.69 | $41.58 – $127.18 |
| 6 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 7 | Sanford Health Plan medicare advantage professional · fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $98.71 | $99.02 | $49.82 – $148.53 |
| 10 | Bcbs Mn medicare advantage professional · fee schedule · both | $102.66 | $102.98 | $51.81 – $154.47 |
| 11 | Ucare medicare advantage/msho professional · fee schedule · both | $103.65 | $103.97 | $52.31 – $155.96 |
| 12 | Sanford Health Plan commercial professional · percent of total billed charges · bothfrom % of charges | $136.06 | $136.06 | $136.06 – $136.06 |
| 13 | Ucare pmap facility · other · inpatient | $161.18 | $161.18 | $161.18 – $161.18 |
| 14 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 15 | Ucare medicare advantage/msho facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 17 | WellCare medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 18 | Bcbs Mn pmap facility · fee schedule · outpatient | $181.84 | $181.84 | $181.84 – $181.84 |
| 19 | Ucare individual and family plans facility · other · inpatient | $186.15 | $186.15 | $186.15 – $186.15 |
| 20 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $186.31 | $186.31 | $186.31 – $186.31 |
| 21 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $189.42 | $189.42 | $189.42 – $189.42 |
| 22 | Medica medicare advantage non-snp facility · fee schedule · outpatient | $189.89 | $189.89 | $189.89 – $189.89 |
| 23 | Ucare pmap facility · fee schedule · outpatient | $192.58 | $192.58 | $192.58 – $192.58 |
| 24 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $196.35 | $196.35 | $196.35 – $196.35 |
| 25 | Ucare individual and family plans professional · fee schedule · both | $237.14 | $237.89 | $119.69 – $356.83 |
Last updated: Jan 28, 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.