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
LULING, LA
See all hospitals reporting CPT 70487 →Price type
Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana’s median price of $470 is 10% above the median hospital's median price ($427), higher than 53% 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: 12 payers, 15 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 | Tricare all payor other · outpatient | $109.69 | $109.69 | $64.09 – $155.28 |
| 2 | Molina all payor fee schedule · outpatient | $136.13 | $136.13 | $136.13 – $136.13 |
| 3 | Aetna all payor fee schedule · outpatient | $163.45 | $163.45 | $163.45 – $163.45 |
| 4 | Humana all payor fee schedule · outpatient | $163.45 | $163.45 | $163.45 – $163.45 |
| 5 | Optum all payor fee schedule · outpatient | $163.45 | $163.45 | $163.45 – $163.45 |
| 6 | UnitedHealthcare all payor fee schedule · outpatient | $282.60 | $282.60 | $163.45 – $401.74 |
| 7 | Bcbs La all payor fee schedule · outpatient | $470.18 | $434.48 | $163.45 – $527.03 |
| 8 | Cigna all payor other · outpatient | $441.00 | $441.00 | $441.00 – $441.00 |
| 9 | Amerihealth Caritas all payor other · outpatient | $910.92 | $910.92 | $910.92 – $910.92 |
| 10 | Humana all payor other · outpatient | $910.92 | $910.92 | $910.92 – $910.92 |
| 11 | UnitedHealthcare all payor other · outpatient | $910.92 | $910.92 | $910.92 – $910.92 |
| 12 | Aetna Better Health all payor other · outpatient | $938.25 | $938.25 | $938.25 – $938.25 |
| 13 | Aetna all payor other · outpatient | $1,404 | $1,404 | $1,404 – $1,404 |
| 14 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $1,605 | $1,605 | $1,605 – $1,605 |
| 15 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $1,705 | $1,705 | $1,705 – $1,705 |
Last updated: Apr 1, 2026
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