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
HC CT Maxillofacial W/Contrast
Dubuque, IA
See all hospitals reporting CPT 70487 →Price type
Mercy Medical Center - Dubuque’s median price of $179 is 58% below the median hospital's median price ($427), higher than 12% 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: 19 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Molina molina medicaid facility · other · both | $158.90 | $158.90 | $158.90 – $158.90 |
| 2 | Aetna aetna medicare advantage facility · other · both | $170.87 | $170.87 | $170.87 – $170.87 |
| 3 | Wellmark wellmark medicare advantage facility · other · both | $172.58 | $172.58 | $172.58 – $172.58 |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $174.29 | $174.29 | $174.29 – $174.29 |
| 5 | Anthem wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 6 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 7 | Carefirst wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 8 | Excellus wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 9 | Highmark wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 10 | Kaiser wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 11 | Premera wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 12 | Regence wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 13 | Wellmark wellmark hmo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 14 | Wellmark wellmark ppo facility · fee schedule · both | $179.20 | $179.20 | $179.20 – $179.20 |
| 15 | Oscar oscar facility · other · both | $237.86 | $237.86 | $237.86 – $237.86 |
| 16 | Ambetter ambetter marketplace facility · other · both | $292.93 | $292.93 | $292.93 – $292.93 |
| 17 | UnitedHealthcare united healthcare facility · fee schedule · both | $405.77 | $405.77 | $405.77 – $405.77 |
| 18 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $2,120 | $2,120 | $2,120 – $2,120 |
| 19 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $2,133 | $2,133 | $2,133 – $2,133 |
| 20 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $2,133 | $2,133 | $2,133 – $2,133 |
| 21 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $2,133 | $2,133 | $2,133 – $2,133 |
| 22 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,299 | $2,299 | $2,299 – $2,299 |
| 23 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,299 | $2,299 | $2,299 – $2,299 |
| 24 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2,299 | $2,299 | $2,299 – $2,299 |
| 25 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $2,554 | $2,554 | $2,554 – $2,554 |
Last updated: Mar 31, 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.