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 maxillofacial w-dye
Philadelphia, PA
See all hospitals reporting CPT 70487 →Price type
Jefferson Health - Northeast’s median price of $169 is 60% below the median hospital's median price ($427), higher than 7% 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, 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 | Optum jne002_jne003 va ccn facility · fee schedule · outpatient | $162.18 | $162.18 | $162.18 – $162.18 |
| 2 | Tricare jne002_jne003 military facility · fee schedule · outpatient | $162.18 | $162.18 | $162.18 – $162.18 |
| 3 | Humana medicare facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 4 | UnitedHealthcare medicare aarp facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 5 | UnitedHealthcare medicare isnp facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 6 | Cigna Healthspring jne002_jne003 medicare facility · fee schedule · outpatient | $168.67 | $168.67 | $168.67 – $168.67 |
| 7 | Aetna Better Health jne001_jne002_jne003 chip facility · fee schedule · outpatient | $137.83 | $168.84 | $137.83 – $230.87 |
| 8 | Devoted jne002_jne003 medicare facility · fee schedule · outpatient | $170.29 | $170.29 | $170.29 – $170.29 |
| 9 | Aetna jne002_jne003 medicare facility · fee schedule · outpatient | $171.91 | $171.91 | $171.91 – $171.91 |
| 10 | UnitedHealthcare medicare group retiree facility · fee schedule · outpatient | $175.16 | $175.16 | $175.16 – $175.16 |
| 11 | Highmark jne002_jne003 medicare facility · fee schedule · outpatient | $189.75 | $189.75 | $189.75 – $189.75 |
| 12 | Ambetter jne002_jne003 comm exch facility · fee schedule · outpatient | $235.17 | $235.17 | $235.17 – $235.17 |
| 13 | Cigna jne001_jne002_jne003 commercial facility · fee schedule · outpatient | $307.73 | $307.73 | $307.73 – $307.73 |
| 14 | Cigna jne001_jne002_jne003 ppo facility · fee schedule · outpatient | $369.72 | $369.72 | $369.72 – $369.72 |
| 15 | Blue Cross Blue Shield commercial hmo facility · fee schedule · outpatient | $390.60 | $390.60 | $390.60 – $390.60 |
| 16 | Blue Cross Blue Shield jne ppo_indemnity facility · fee schedule · outpatient | $390.60 | $390.60 | $390.60 – $390.60 |
| 17 | Aetna commercial pebtf facility · fee schedule · outpatient | $622.80 | $622.80 | $622.80 – $622.80 |
| 18 | Aetna northeast commercial facility · fee schedule · outpatient | $671.40 | $671.40 | $671.40 – $671.40 |
Last updated: Mar 18, 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.