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
Monticello, IL
See all hospitals reporting CPT 70487 →Price type
Kirby Medical Center’s median price of $416 is 3% below the median hospital's median price ($427), higher than 48% 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, 40 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 | Bcbs Il medicare-medicaid plan/blue cross community mmai professional · fee schedule · both | $57.44 | $67.90 | $41.83 – $114.88 |
| 2 | Aetna medicare advantage/hmo/ppo professional · fee schedule · both | $71.80 | $84.87 | $52.29 – $143.60 |
| 3 | Bcbs Il medicare advantage/hmo/ppo professional · fee schedule · both | $71.80 | $84.87 | $52.29 – $143.60 |
| 4 | UnitedHealthcare medicare advantage/hmo/ppo professional · fee schedule · both | $71.80 | $84.87 | $52.29 – $143.60 |
| 5 | UnitedHealthcare va community care network professional · fee schedule · both | $71.80 | $84.87 | $52.29 – $143.60 |
| 6 | WellCare medicare advantage/hmo/ppo professional · fee schedule · both | $71.80 | $84.87 | $52.29 – $143.60 |
| 7 | Molina medicare-medicaid plan/molina dual options mmai professional · fee schedule · both | $73.96 | $87.42 | $53.86 – $147.91 |
| 8 | Aetna Better Health managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $98.24 | $98.24 | $98.24 – $98.24 |
| 9 | Bcbs Il managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $98.24 | $98.24 | $98.24 – $98.24 |
| 10 | Molina managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $103.15 | $103.15 | $103.15 – $103.15 |
| 11 | Aetna commercial/hmo/ppo professional · fee schedule · both | $85.98 | $137.64 | $85.98 – $240.95 |
| 12 | UnitedHealthcare hmo/ppo professional · fee schedule · both | $69.65 | $154.61 | $69.65 – $324.54 |
| 13 | Humana ppo professional · fee schedule · both | $197.96 | $197.96 | $197.96 – $197.96 |
| 14 | MultiPlan ppo professional · percent of total billed charges · bothfrom % of charges | $220.50 | $220.50 | $99.00 – $342.00 |
| 15 | Aetna Better Health medicare-medicaid plan/premier plan mmai professional · other · both | $415.83 | $415.83 | $415.83 – $415.83 |
| 16 | Aetna medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 17 | Aetna Better Health medicare-medicaid plan/premier plan mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 18 | Humana medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 19 | Humana medicare-medicaid plan/humana gold integrated plus mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 20 | UnitedHealthcare medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 21 | UnitedHealthcare va community care network facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 22 | WellCare medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,279 | $1,279 | $1,008 – $1,550 |
| 23 | Bcbs Il medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,304 | $1,304 | $1,028 – $1,581 |
| 24 | Bcbs Il medicare-medicaid plan/blue cross community mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,304 | $1,304 | $1,028 – $1,581 |
| 25 | Molina medicare-medicaid plan/molina dual options mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,317 | $1,317 | $1,038 – $1,597 |
Last updated: Jun 11, 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.