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 MAXIFAC W/CONTRAST
NAVARRE, FL
See all hospitals reporting CPT 70487 →Price type
Hca Florida Fort Walton-destin Hospital’s median price of $10.5k is 2368% above the median hospital's median price ($427), higher than 100% 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: 4 payers, 11 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $401.74 | $401.74 | $401.74 – $401.74 |
| 2 | Aetna qhp other · outpatient | $1,696 | $1,696 | $1,696 – $1,696 |
| 3 | Aetna hmo other · outpatient | $2,543 | $2,543 | $2,543 – $2,543 |
| 4 | Aetna ppo other · outpatient | $2,543 | $2,543 | $2,543 – $2,543 |
| 5 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $4,005 | $3,907 | $3,674 – $4,042 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $4,342 | $4,236 | $3,984 – $4,383 |
| 7 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $6,323 | $6,169 | $5,802 – $6,382 |
| 8 | Molina hix percent of total billed charges · outpatientfrom % of charges | $6,745 | $6,580 | $6,189 – $6,808 |
| 9 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $9,485 | $9,254 | $8,703 – $9,574 |
| 10 | MultiPlan primary percent of total billed charges · outpatientfrom % of charges | $16,441 | $16,040 | $15,085 – $16,594 |
| 11 | MultiPlan complementary percent of total billed charges · outpatientfrom % of charges | $17,916 | $17,479 | $16,438 – $18,084 |
Last updated: Mar 1, 2026
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