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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Jasper, IN
See all hospitals reporting CPT 70487 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $158 is 63% below the median hospital's median price ($427), higher than 5% 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: 8 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 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $106.16 | $106.16 | $106.16 – $106.16 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $139.94 | $109.81 | $49.56 – $139.94 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $139.94 | $109.81 | $49.56 – $139.94 |
| 4 | Caresource medicare advantage professional · fee schedule · both | $139.94 | $109.81 | $49.56 – $139.94 |
| 5 | Humana medicare advantage professional · fee schedule · both | $139.94 | $109.81 | $49.56 – $139.94 |
| 6 | Tricare government professional · fee schedule · both | $139.94 | $109.81 | $49.56 – $139.94 |
| 7 | UnitedHealthcare commercial professional · fee schedule · both | $156.97 | $123.09 | $55.34 – $156.97 |
| 8 | Anthem managed medicaid facility · fee schedule · outpatient | $128.98 | $128.98 | $128.98 – $128.98 |
| 9 | Anthem managed medicaid professional · fee schedule · both | $152.97 | $132.71 | $47.97 – $176.95 |
| 10 | Caresource commercial professional · fee schedule · both | $174.93 | $137.27 | $61.95 – $174.93 |
| 11 | Ambetter commercial professional · fee schedule · both | $181.92 | $142.76 | $64.43 – $181.92 |
| 12 | Tricare government facility · case rate · outpatient | $158.52 | $158.52 | $158.52 – $158.52 |
| 13 | Aetna medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 14 | Anthem medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 15 | Caresource medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 16 | Humana medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 17 | Anthem hmo/ppo/traditional professional · fee schedule · both | $299.72 | $227.78 | $83.90 – $299.72 |
| 18 | Caresource commercial facility · case rate · outpatient | $233.11 | $233.11 | $233.11 – $233.11 |
| 19 | Ambetter commercial facility · case rate · outpatient | $242.44 | $242.44 | $242.44 – $242.44 |
| 20 | Aetna commercial professional · fee schedule · both | $486.52 | $380.73 | $169.16 – $486.52 |
| 21 | Cigna commercial professional · fee schedule · both | $486.52 | $380.73 | $169.16 – $486.52 |
Last updated: Feb 13, 2026
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