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
Smith, AR
See all hospitals reporting CPT 70487 →Price type
Mercy Hospital Fort Smith’s median price of $191 is 55% below the median hospital's median price ($427), higher than 15% 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, 29 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 ftsm ok medicaid facility · fee schedule · outpatient | $86.04 | $86.04 | $86.04 – $86.04 |
| 2 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $133.61 | $133.61 | $133.61 – $133.61 |
| 3 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $133.61 | $133.61 | $133.61 – $133.61 |
| 4 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $151.76 | $151.76 | $151.76 – $151.76 |
| 5 | Aetna hb ftsm managed medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 6 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 7 | First Health hb ftsm managed medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 8 | Humana hb ftsm humana mcr facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 9 | Medica hb ftsm managed medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 10 | Medicare hb ftsm medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 11 | Tricare hb ftsm tricare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 12 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 13 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $166.66 | $166.66 | $166.66 – $166.66 |
| 14 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $171.76 | $171.76 | $171.76 – $171.76 |
| 15 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $173.46 | $173.46 | $173.46 – $173.46 |
| 16 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 17 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 18 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 19 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $175.16 | $175.16 | $175.16 – $175.16 |
| 20 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $191.00 | $191.00 | $191.00 – $191.00 |
| 21 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $194.82 | $194.82 | $194.82 – $194.82 |
| 22 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $237.84 | $237.84 | $237.84 – $237.84 |
| 23 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 24 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 25 | Cigna hb ftsm cigna facility · per diem · outpatient | $738.00 | $738.00 | $738.00 – $738.00 |
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.