CT scan of face and jaw with contrast dye at Johnson Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT Maxillofacial W/Contrast

Stafford Springs, CT

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How this price compares nationally

Johnson Memorial Hospital’s median price of $525 is 23% above the median hospital's median price ($427), higher than 56% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at Johnson Memorial Hospital

Negotiated rates from the hospital’s own file: 16 payers, 24 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	Aetna aetna medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
2	Anthem anthem mediblue medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
3	UnitedHealthcare united healthcare medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
4	WellCare wellcare medicare advantage facility · other · both	$210.27	$210.27	$210.27 – $210.27
5	Cigna cigna medicare advantage facility · other · both	$212.25	$212.25	$212.25 – $212.25
6	Aetna aetna whole health facility · fee schedule · both	$268.23	$268.23	$268.23 – $268.23
7	UnitedHealthcare united healthcare facility · fee schedule · both	$291.55	$291.55	$291.55 – $291.55
8	Aetna aetna facility · fee schedule · both	$335.82	$335.82	$335.82 – $335.82
9	Cigna cigna facility · fee schedule · both	$391.08	$391.08	$391.08 – $391.08
10	Anthem anthem individual pathway hmo ppo facility · fee schedule · both	$406.76	$406.76	$406.76 – $406.76
11	Anthem anthem bluecare prime facility · fee schedule · both	$472.36	$472.36	$472.36 – $472.36
12	Anthem anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
13	Blue Cross Blue Shield anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
14	Carefirst anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
15	Excellus anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
16	Highmark anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
17	Kaiser anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
18	Premera anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
19	Regence anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
20	Wellmark anthem facility · fee schedule · both	$524.85	$524.85	$524.85 – $524.85
21	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$1,285	$1,285	$1,285 – $1,285
22	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1,367	$1,367	$1,367 – $1,367
23	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1,367	$1,367	$1,367 – $1,367
24	Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges	$1,647	$1,647	$1,647 – $1,647

Last updated: Mar 31, 2026

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