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
PR CT MAXILLOFACIAL W CONTRAST
Clinton Twp, MI
See all hospitals reporting CPT 70487 →Price type
Henry Ford Macomb Hospital Corporation’s median price of $53 is 88% below the median hospital's median price ($427), higher than 0% 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, 64 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 medicaid-behavioral health-adult-fac professional · fee schedule · outpatient | $33.23 | $33.23 | $33.23 – $33.23 |
| 2 | UnitedHealthcare medicaid-behavioral health-adult-nonfac professional · fee schedule · outpatient | $33.23 | $33.23 | $33.23 – $33.23 |
| 3 | UnitedHealthcare medicaid-behavioral health-child-fac professional · fee schedule · outpatient | $33.23 | $33.23 | $33.23 – $33.23 |
| 4 | UnitedHealthcare medicaid-behavioral health-child-nonfac professional · fee schedule · outpatient | $33.23 | $33.23 | $33.23 – $33.23 |
| 5 | Aetna Better Health medicaid hmo-adult-fac professional · fee schedule · outpatient | $33.89 | $33.89 | $33.89 – $33.89 |
| 6 | Aetna Better Health medicaid hmo-adult-nonfac professional · fee schedule · outpatient | $33.89 | $33.89 | $33.89 – $33.89 |
| 7 | Aetna Better Health medicaid hmo-child-fac professional · fee schedule · outpatient | $33.89 | $33.89 | $33.89 – $33.89 |
| 8 | Aetna Better Health medicaid hmo-child-nonfac professional · fee schedule · outpatient | $33.89 | $33.89 | $33.89 – $33.89 |
| 9 | Molina medicaid hmo-adult-fac professional · fee schedule · outpatient | $34.56 | $34.56 | $34.56 – $34.56 |
| 10 | Molina medicaid hmo-child-fac professional · fee schedule · outpatient | $34.56 | $34.56 | $34.56 – $34.56 |
| 11 | Molina medicaid hmo-child-nonfac professional · fee schedule · outpatient | $34.56 | $34.56 | $34.56 – $34.56 |
| 12 | Molina medicaid hmo-adult-nonfac professional · fee schedule · outpatient | $38.04 | $38.04 | $38.04 – $38.04 |
| 13 | UnitedHealthcare all products-midlevel professional · fee schedule · outpatient | $39.82 | $39.82 | $39.82 – $39.82 |
| 14 | Humana tricare-nonphysician-fac professional · fee schedule · outpatient | $48.32 | $48.32 | $48.32 – $48.32 |
| 15 | Humana tricare-physician-fac professional · fee schedule · outpatient | $48.32 | $48.32 | $48.32 – $48.32 |
| 16 | UnitedHealthcare all products-prof professional · fee schedule · outpatient | $51.08 | $51.08 | $51.08 – $51.08 |
| 17 | Amerihealth Caritas dual products-fac professional · fee schedule · outpatient | $52.19 | $52.19 | $52.19 – $52.19 |
| 18 | Amerihealth Caritas dual products-nonfac professional · fee schedule · outpatient | $52.19 | $52.19 | $52.19 – $52.19 |
| 19 | UnitedHealthcare medicare-behavioral health-nonfac professional · fee schedule · outpatient | $52.52 | $52.52 | $52.52 – $52.52 |
| 20 | Humana medicare advantage-physician-fac professional · fee schedule · outpatient | $53.05 | $53.05 | $53.05 – $53.05 |
| 21 | Aetna medicare advantage-fac professional · fee schedule · outpatient | $53.25 | $53.25 | $53.25 – $53.25 |
| 22 | Aetna medicare advantage-nonfac professional · fee schedule · outpatient | $53.25 | $53.25 | $53.25 – $53.25 |
| 23 | Blue Cross Blue Shield bcn medicare advantage -fac professional · fee schedule · outpatient | $53.25 | $53.25 | $53.25 – $53.25 |
| 24 | Blue Cross Blue Shield bcn medicare advantage -nonfac professional · fee schedule · outpatient | $53.25 | $53.25 | $53.25 – $53.25 |
| 25 | Blue Cross Blue Shield medicare plus blue-fac professional · fee schedule · outpatient | $53.25 | $53.25 | $53.25 – $53.25 |
Last updated: Jun 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.