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
Cheyenne, WY
See all hospitals reporting CPT 70487 →Price type
Memorial Hospital of Laramie County’s median price of $387 is 9% below the median hospital's median price ($427), higher than 45% 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: 5 payers, 17 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 | UnitedHealthcare medicare advantage fee schedule · both | $127.95 | $115.66 | $52.53 – $154.21 |
| 2 | Humana medicare advantage fee schedule · both | $131.72 | $119.07 | $54.08 – $158.75 |
| 3 | UnitedHealthcare medicare advantage case rate · outpatient | $182.78 | $182.78 | $182.78 – $182.78 |
| 4 | Humana medicare advantage case rate · outpatient | $188.16 | $188.16 | $188.16 – $188.16 |
| 5 | Cigna pos/ppo fee schedule · both | $130.25 | $204.99 | $130.25 – $382.23 |
| 6 | Aetna pos/ppo percent of total billed charges · bothfrom % of charges | $364.34 | $364.34 | $354.38 – $374.30 |
| 7 | Bcbs Wy blue select ppo fee schedule · both | $494.00 | $429.00 | $156.00 – $572.00 |
| 8 | Bcbs Wy ppo fee schedule · both | $494.00 | $429.00 | $156.00 – $572.00 |
| 9 | UnitedHealthcare hmo/pos/ppo fee schedule · both | $827.20 | $695.48 | $200.20 – $927.30 |
| 10 | Bcbs Wy blue select ppo percent of total billed charges · outpatientfrom % of charges | $2,906 | $2,906 | $2,906 – $2,906 |
| 11 | Bcbs Wy ppo percent of total billed charges · outpatientfrom % of charges | $2,986 | $2,986 | $2,986 – $2,986 |
| 12 | Cigna pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,113 | $3,113 | $3,113 – $3,113 |
| 13 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,173 | $3,173 | $3,173 – $3,173 |
| 14 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,245 | $3,245 | $3,245 – $3,245 |
| 15 | Cigna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,312 | $3,312 | $3,312 – $3,312 |
| 16 | Aetna pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,503 | $3,503 | $3,503 – $3,503 |
| 17 | Aetna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,503 | $3,503 | $3,503 – $3,503 |
Last updated: Mar 25, 2026
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