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
Darlington, WI
See all hospitals reporting CPT 70487 →Price type
Lafayette County’s median price of $920 is 115% above the median hospital's median price ($427), higher than 72% 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: 4 payers, 21 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 medicare advantage professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 2 | Anthem commercial professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 4 | Humana commercial professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 5 | Humana medicare advantage professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $57.35 | $57.35 | $57.35 – $57.35 |
| 7 | Anthem badgercare professional · fee schedule · both | $65.34 | $65.34 | $65.34 – $65.34 |
| 8 | UnitedHealthcare badgercare professional · fee schedule · both | $65.34 | $65.34 | $65.34 – $65.34 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $74.81 | $74.81 | $74.81 – $74.81 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $919.79 | $919.79 | $919.79 – $919.79 |
| 11 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $919.79 | $919.79 | $919.79 – $919.79 |
| 12 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $919.79 | $919.79 | $919.79 – $919.79 |
| 13 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $919.79 | $919.79 | $919.79 – $919.79 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,272 | $1,272 | $1,272 – $1,272 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,272 | $1,272 | $1,272 – $1,272 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,272 | $1,272 | $1,272 – $1,272 |
| 17 | Anthem badgercare facility · other · inpatient | $1,502 | $1,502 | $1,502 – $1,502 |
| 18 | Anthem badgercare facility · other · outpatient | $1,502 | $1,502 | $1,502 – $1,502 |
| 19 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,585 | $1,585 | $1,585 – $1,585 |
| 20 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,859 | $1,859 | $1,859 – $1,859 |
| 21 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,859 | $1,859 | $1,859 – $1,859 |
Last updated: Feb 4, 2026
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