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
St, NE
See all hospitals reporting CPT 70487 →Price type
Mayo Clinic Health System’s median price of $766 is 79% above the median hospital's median price ($427), higher than 66% 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: 14 payers, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Ucare ucare msho medicare advantage plan [946] professional · fee schedule · outpatient | $83.08 | $83.08 | $41.49 – $124.66 |
| 2 | Ucare ucare connect medicare advantage plan [945] professional · fee schedule · outpatient | $89.59 | $89.59 | $44.74 – $134.44 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [1126] professional · fee schedule · outpatient | $101.81 | $101.81 | $50.84 – $152.77 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $101.81 | $101.81 | $50.84 – $152.77 |
| 5 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $104.86 | $104.86 | $52.37 – $157.35 |
| 6 | Medica medica advantage solution [790] 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 medica dual solution msho medicare advantage plan [1003] professional · fee schedule · outpatient | $106.90 | $106.90 | $53.38 – $160.41 |
| 9 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $117.08 | $117.08 | $58.47 – $175.69 |
| 10 | Anthem blue cross blue shield [240] professional · percent of total billed charges · outpatientfrom % of charges | $1,179 | $1,179 | $592.50 – $1,766 |
| 11 | Blue Cross Blue Shield blue cross blue shield blue plus se [828] professional · percent of total billed charges · outpatientfrom % of charges | $1,179 | $1,179 | $592.50 – $1,766 |
| 12 | Ucare ucare ifp [1113] professional · percent of total billed charges · outpatientfrom % of charges | $1,179 | $1,179 | $592.50 – $1,766 |
| 13 | Blue Cross Blue Shield winona health [1291] professional · percent of total billed charges · outpatientfrom % of charges | $1,336 | $1,336 | $671.50 – $2,001 |
| 14 | Medica deanhp by medica west mc hmo [1262] professional · percent of total billed charges · outpatientfrom % of charges | $1,383 | $1,383 | $695.20 – $2,072 |
| 15 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $1,383 | $1,383 | $695.20 – $2,072 |
| 16 | Medica medica non mayo employee group [763] professional · percent of total billed charges · outpatientfrom % of charges | $1,415 | $1,415 | $711.00 – $2,119 |
| 17 | Healthpartners noncontracted [932] professional · percent of total billed charges · outpatientfrom % of charges | $1,462 | $1,462 | $734.70 – $2,189 |
| 18 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $1,462 | $1,462 | $734.70 – $2,189 |
| 19 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,478 | $1,478 | $742.60 – $2,213 |
| 20 | Aetna multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
| 21 | Cigna cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
| 22 | First Health multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
| 23 | Healthpartners cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
| 24 | Humana cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
| 25 | Medcost cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,493 | $1,493 | $750.50 – $2,236 |
Last updated: Mar 31, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.