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
CT Maxillofacial Area W Cont
Booneville, AR
See all hospitals reporting CPT 70487 →Price type
Mercy Hospital Booneville’s median price of $580 is 36% above the median hospital's median price ($427), higher than 58% 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: 17 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 | Medicaid hb bnvar ok medicaid facility · fee schedule · outpatient | $86.04 | $86.04 | $86.04 – $86.04 |
| 2 | Aetna hb bnvar ok managed medicaid facility · fee schedule · outpatient | $133.61 | $133.61 | $133.61 – $133.61 |
| 3 | Humana hb bnvar ok managed medicaid facility · fee schedule · outpatient | $133.61 | $133.61 | $133.61 – $133.61 |
| 4 | Anthem hb bnvar blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 5 | Blue Cross Blue Shield hb bnvar blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 6 | Medicaid hb bnvar ark medicaid facility · fee schedule · outpatient | $191.00 | $191.00 | $191.00 – $191.00 |
| 7 | Caresource hb bnvar caresource medicaid facility · fee schedule · outpatient | $194.82 | $194.82 | $194.82 – $194.82 |
| 8 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 9 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 10 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 11 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 12 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 13 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 14 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 15 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 16 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 17 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $579.77 | $579.77 | $579.77 – $579.77 |
| 18 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $581.99 | $581.99 | $581.99 – $581.99 |
| 19 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $597.11 | $597.11 | $597.11 – $597.11 |
| 20 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $603.02 | $603.02 | $603.02 – $603.02 |
| 21 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $608.73 | $608.73 | $608.73 – $608.73 |
| 22 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $799.82 | $799.82 | $799.82 – $799.82 |
| 23 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1,281 | $1,281 | $1,281 – $1,281 |
| 24 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,576 | $1,576 | $1,576 – $1,576 |
| 25 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $1,675 | $1,675 | $1,675 – $1,675 |
Last updated: Jun 8, 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.