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
Grundy Center, IA
See all hospitals reporting CPT 70487 →Price type
Grundy County Memorial Hospital’s median price of $1.1k is 156% above the median hospital's median price ($427), higher than 76% 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, 19 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 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $161.24 | $161.24 | $161.24 – $161.24 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $747.74 | $747.74 | $747.74 – $747.74 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $785.20 | $785.20 | $785.20 – $785.20 |
| 4 | Molina molina iowa facility · percent of total billed charges · outpatientfrom % of charges | $815.40 | $815.40 | $815.40 – $815.40 |
| 5 | Blue Cross Blue Shield bc ia medicare facility · percent of total billed charges · outpatientfrom % of charges | $823.55 | $823.55 | $823.55 – $823.55 |
| 6 | Wellmark ppo facility · other · outpatient | $823.55 | $823.55 | $823.55 – $823.55 |
| 7 | Wellmark hmo facility · other · outpatient | $832.37 | $832.37 | $832.37 – $832.37 |
| 8 | Healthpartners open access facility · percent of total billed charges · outpatientfrom % of charges | $923.23 | $923.23 | $923.23 – $923.23 |
| 9 | Wellmark hmo facility · percent of total billed charges · inpatientfrom % of charges | $991.90 | $991.90 | $991.90 – $991.90 |
| 10 | Wellmark ppo facility · percent of total billed charges · inpatientfrom % of charges | $991.90 | $991.90 | $991.90 – $991.90 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,095 | $1,095 | $1,095 – $1,095 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,117 | $1,117 | $1,117 – $1,117 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 15 | Healthpartners open access facility · percent of total billed charges · inpatientfrom % of charges | $1,511 | $1,511 | $1,511 – $1,511 |
| 16 | Aetna medicare facility · per diem · inpatient | $1,526 | $1,526 | $1,526 – $1,526 |
| 17 | Blue Cross Blue Shield bc ia medicare facility · per diem · inpatient | $1,526 | $1,526 | $1,526 – $1,526 |
| 18 | Humana medicare facility · per diem · inpatient | $1,526 | $1,526 | $1,526 – $1,526 |
| 19 | UnitedHealthcare medicare advantage facility · per diem · inpatient | $1,526 | $1,526 | $1,526 – $1,526 |
Last updated: Jun 29, 2026
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