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
HCHG 70487 CT MAXILLA W/IV CONT
Boscobel, WI
See all hospitals reporting CPT 70487 →Price type
Memorial Hospital of Boscobel’s median price of $1.2k is 188% above the median hospital's median price ($427), higher than 79% 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: 6 payers, 14 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 medicaid facility · other · outpatient | $707.14 | $707.14 | $707.14 – $707.14 |
| 2 | Anthem medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,206 | $1,206 | $1,206 – $1,206 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,206 | $1,206 | $1,206 – $1,206 |
| 4 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $1,231 | $1,231 | $1,231 – $1,231 |
| 5 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $1,231 | $1,231 | $1,231 – $1,231 |
| 6 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $1,231 | $1,231 | $1,231 – $1,231 |
| 7 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $1,883 | $1,883 | $1,883 – $1,883 |
| 8 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,898 | $1,898 | $1,898 – $1,898 |
| 9 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1,970 | $1,970 | $1,970 – $1,970 |
| 10 | Anthem state specific facility · other · outpatient | $2,092 | $2,092 | $2,092 – $2,092 |
| 11 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $2,167 | $2,167 | $2,167 – $2,167 |
| 12 | Anthem hmo/pos facility · other · outpatient | $2,202 | $2,202 | $2,202 – $2,202 |
| 13 | MultiPlan mpi_healtheos wc facility · percent of total billed charges · outpatientfrom % of charges | $2,364 | $2,364 | $2,364 – $2,364 |
| 14 | Anthem ppo facility · other · outpatient | $2,570 | $2,570 | $2,570 – $2,570 |
Last updated: Jun 27, 2026
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