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 w/dye
Portland, ME
See all hospitals reporting CPT 70487 →Price type
Mercy Hospital’s median price of $176 is 59% below the median hospital's median price ($427), higher than 10% 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, 28 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 mcr advantage professional · fee schedule · outpatient | $75.16 | $75.16 | $51.03 – $99.28 |
| 2 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $76.66 | $76.66 | $52.05 – $101.27 |
| 3 | WellCare mcr advantage professional · fee schedule · outpatient | $76.66 | $76.66 | $52.05 – $101.27 |
| 4 | Aetna mcr advantage professional · fee schedule · outpatient | $95.57 | $95.57 | $64.59 – $126.54 |
| 5 | Aetna commercial professional · fee schedule · outpatient | $121.91 | $121.91 | $86.99 – $156.82 |
| 6 | UnitedHealthcare commercial professional · fee schedule · outpatient | $138.62 | $138.62 | $97.37 – $179.87 |
| 7 | Anthem commercial professional · fee schedule · outpatient | $145.27 | $145.27 | $99.77 – $190.76 |
| 8 | Anthem enhanced pathways professional · fee schedule · outpatient | $145.27 | $145.27 | $99.77 – $190.76 |
| 9 | Anthem mcr advantage facility · case rate · outpatient | $173.85 | $173.85 | $173.85 – $173.85 |
| 10 | Cigna commercial professional · fee schedule · outpatient | $176.43 | $176.43 | $117.51 – $235.35 |
| 11 | Aetna mcr advantage facility · case rate · outpatient | $177.33 | $177.33 | $177.33 – $177.33 |
| 12 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $177.33 | $177.33 | $177.33 – $177.33 |
| 13 | WellCare mcr advantage facility · case rate · outpatient | $177.33 | $177.33 | $177.33 – $177.33 |
| 14 | Aetna commercial facility · fee schedule · outpatient | $412.01 | $412.01 | $412.01 – $412.01 |
| 15 | Anthem enhanced pathways facility · case rate · outpatient | $639.27 | $639.27 | $639.27 – $639.27 |
| 16 | Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $796.73 | $796.73 | $796.73 – $796.73 |
| 17 | Anthem commercial facility · case rate · outpatient | $819.58 | $819.58 | $819.58 – $819.58 |
| 18 | Cigna commercial facility · case rate · outpatient | $964.26 | $964.26 | $964.26 – $964.26 |
| 19 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $969.80 | $969.80 | $969.80 – $969.80 |
| 20 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $969.80 | $969.80 | $969.80 – $969.80 |
| 21 | Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges | $969.80 | $969.80 | $969.80 – $969.80 |
| 22 | Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges | $969.80 | $969.80 | $969.80 – $969.80 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,046 | $1,046 | $1,046 – $1,046 |
| 24 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,086 | $1,086 | $1,086 – $1,086 |
Last updated: Apr 15, 2026
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