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 Contrast
Spirit Lake, IA
See all hospitals reporting CPT 70487 →Price type
Lakes Regional Hospital’s median price of $996 is 133% above the median hospital's median price ($427), higher than 74% 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, 10 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 | Medica com fee schedule · outpatient | $268.29 | $268.29 | $268.29 – $268.29 |
| 2 | Medica ind fee schedule · outpatient | $268.29 | $268.29 | $268.29 – $268.29 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $914.17 | $914.17 | $914.17 – $914.17 |
| 4 | Wellmark hmo case rate · outpatient | $916.89 | $916.89 | $916.89 – $916.89 |
| 5 | Wellmark ppo case rate · outpatient | $916.89 | $916.89 | $916.89 – $916.89 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $1,075 | $1,075 | $1,075 – $1,075 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1,111 | $1,111 | $1,111 – $1,111 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $1,111 | $1,111 | $1,111 – $1,111 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
Last updated: Apr 1, 2026
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