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
PR CT MAXFAC W CNTRST
Sparta, WI
See all hospitals reporting CPT 70487 →Price type
Mayo Clinic Health System’s median price of $717 is 68% above the median hospital's median price ($427), higher than 65% 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: 16 payers, 37 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $79.48 | $79.48 | $40.75 – $118.21 |
| 2 | Tricare swwi tricare [689] professional · fee schedule · outpatient | $96.63 | $96.63 | $49.78 – $143.47 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $97.40 | $97.40 | $49.94 – $144.86 |
| 4 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $97.40 | $97.40 | $49.94 – $144.86 |
| 5 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $100.33 | $100.33 | $51.44 – $149.21 |
| 6 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $104.86 | $104.86 | $52.37 – $157.35 |
| 7 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $106.90 | $106.90 | $53.38 – $160.41 |
| 8 | Medica swwi medica dual solution msho [1006] professional · fee schedule · outpatient | $106.90 | $106.90 | $53.38 – $160.41 |
| 9 | Ucare swwi ucare essentia care medicare advantage plan [774] professional · fee schedule · outpatient | $112.01 | $112.01 | $57.43 – $166.59 |
| 10 | Blue Cross Blue Shield swwi anthem hmo and pos [59] professional · fee schedule · outpatient | $717.00 | $1,037 | $599.34 – $1,795 |
| 11 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $1,244 | $1,244 | $466.05 – $2,022 |
| 12 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,378 | $1,378 | $516.24 – $2,239 |
| 13 | UnitedHealthcare swwi uhc [243] professional · fee schedule · outpatient | $717.00 | $1,413 | $659.64 – $2,861 |
| 14 | Anthem swwi anthem ppo [19] professional · fee schedule · outpatient | $717.00 | $1,425 | $666.81 – $2,892 |
| 15 | Blue Cross Blue Shield swwi anthem ppo [19] professional · fee schedule · outpatient | $717.00 | $1,425 | $666.81 – $2,892 |
| 16 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $1,531 | $1,531 | $573.60 – $2,488 |
| 17 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $1,626 | $1,626 | $609.45 – $2,644 |
| 18 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,626 | $1,626 | $609.45 – $2,644 |
| 19 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $1,684 | $1,684 | $630.96 – $2,737 |
| 20 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $1,722 | $1,722 | $645.30 – $2,799 |
| 21 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,722 | $1,722 | $645.30 – $2,799 |
| 22 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $673.98 – $2,923 |
| 23 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $673.98 – $2,923 |
| 24 | Medica multi medica ifb [1076] professional · percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $673.98 – $2,923 |
| 25 | Cigna cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,818 | $1,818 | $681.15 – $2,955 |
Last updated: Aug 14, 2026
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