CT scan of face and jaw with contrast dye at Mary Bridge Children's 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

C CT MAXILLA/FACIAL W/ CONTRAST

Tacoma, WA

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How this price compares nationally

Mary Bridge Children's Hospital’s median price of $933 is 119% above the median hospital's median price ($427), higher than 73% 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 Mary Bridge Children's Hospital

Negotiated rates from the hospital’s own file: 11 payers, 25 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 medadvantage fee schedule · outpatient	$206.63	$206.63	$206.63 – $206.63
2	Regence medadvantage fee schedule · outpatient	$206.63	$206.63	$206.63 – $206.63
3	UnitedHealthcare medadvantage hmo fee schedule · outpatient	$208.63	$208.63	$208.63 – $208.63
4	Molina medadvantage fee schedule · outpatient	$210.64	$210.64	$210.64 – $210.64
5	WellCare medadvantage fee schedule · outpatient	$210.64	$210.64	$210.64 – $210.64
6	Molina apple health fee schedule · outpatient	$223.31	$223.31	$223.31 – $223.31
7	UnitedHealthcare apple health fee schedule · outpatient	$241.17	$241.17	$241.17 – $241.17
8	Premera hmo fee schedule · outpatient	$337.83	$337.83	$337.83 – $337.83
9	Premera signature fee schedule · outpatient	$671.32	$671.32	$671.32 – $671.32
10	Premera prime fee schedule · outpatient	$686.42	$686.42	$686.42 – $686.42
11	Ambetter coordinated care exchange fee schedule · outpatient	$792.75	$792.75	$792.75 – $792.75
12	Premera other commercial plans fee schedule · outpatient	$843.63	$843.63	$843.63 – $843.63
13	Regence blue high performance fee schedule · outpatient	$933.46	$933.46	$933.46 – $933.46
14	Regence mcc/ahn fee schedule · outpatient	$933.46	$933.46	$933.46 – $933.46
15	Regence realvalue fee schedule · outpatient	$960.13	$960.13	$960.13 – $960.13
16	Regence commercial fee schedule · outpatient	$1,067	$1,067	$1,067 – $1,067
17	Aetna all commercial plans fee schedule · outpatient	$1,218	$1,218	$1,218 – $1,218
18	Kaiser hmo/ppo fee schedule · outpatient	$1,418	$1,418	$1,418 – $1,418
19	UnitedHealthcare all commercial plans fee schedule · outpatient	$1,650	$1,650	$1,650 – $1,650
20	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,838	$1,838	$1,838 – $1,838
21	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,861	$1,861	$1,861 – $1,861
22	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,893	$1,893	$1,893 – $1,893
23	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$2,297	$2,297	$2,297 – $2,297
24	Cigna all commercial plans percent of total billed charges · inpatientfrom % of charges	$2,315	$2,315	$2,315 – $2,315
25	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$2,326	$2,326	$2,326 – $2,326

Last updated: Aug 27, 2026

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