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 Maxillofac W Contrast
Leominster, MA
See all hospitals reporting CPT 70487 →Price type
HealthAlliance - Clinton Hospital’s median price of $308 is 28% below the median hospital's median price ($427), higher than 39% 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, 18 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 | Cigna all medicare advantage (minus ime) ha [134] plans other · both | $212.81 | $212.81 | $212.81 – $212.81 |
| 2 | Medicaid all medicaid of ct [28] plans other · both | $212.81 | $212.81 | $212.81 – $212.81 |
| 3 | Medicare all medicare/ medicare adv plans/ inst ha [98] plans other · both | $212.81 | $212.81 | $212.81 – $212.81 |
| 4 | Blue Cross Blue Shield all bc mcr ha [66] plans other · both | $219.88 | $219.88 | $219.88 – $219.88 |
| 5 | Aetna all medicare adv at 105% ha [244] plans other · both | $223.45 | $223.45 | $223.45 – $223.45 |
| 6 | UnitedHealthcare all uhc community care sco (evercare) ha [229] plans other · both | $223.45 | $223.45 | $223.45 – $223.45 |
| 7 | UnitedHealthcare all uhc mcr ha [318] plans other · both | $227.71 | $227.71 | $227.71 – $227.71 |
| 8 | Cigna all tufts ppo/carelink ha [174] plans fee schedule · both | $522.99 | $522.99 | $522.99 – $522.99 |
| 9 | Blue Cross Blue Shield all bc hmo ha [61] plans fee schedule · both | $558.99 | $558.99 | $558.99 – $558.99 |
| 10 | Blue Cross Blue Shield all bc ppo ha [58] plans fee schedule · both | $558.99 | $558.99 | $558.99 – $558.99 |
| 11 | UnitedHealthcare all uhc rhody partners [271] plans percent of total billed charges · bothfrom % of charges | $696.65 | $696.65 | $696.65 – $696.65 |
| 12 | Medicaid all medicaid of maine [283] plans percent of total billed charges · bothfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 13 | UnitedHealthcare all uhc ha [125] plans percent of total billed charges · bothfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 14 | UnitedHealthcare all uhc surest ha [323] plans percent of total billed charges · bothfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 15 | First Health all coventry (first health) [83] plans percent of total billed charges · bothfrom % of charges | $1,541 | $1,541 | $1,541 – $1,541 |
| 16 | MultiPlan all multiplan [81] plans percent of total billed charges · bothfrom % of charges | $1,541 | $1,541 | $1,541 – $1,541 |
| 17 | Cigna all cigna ha [46] plans fee schedule · both | $1,797 | $1,797 | $1,797 – $1,797 |
| 18 | Optum all optum behavioral health (ubh) ha [248] plans percent of total billed charges · bothfrom % of charges | $2,055 | $2,055 | $2,055 – $2,055 |
Last updated: Mar 26, 2026
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