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
Perryville, MO
See all hospitals reporting CPT 70487 →Price type
Mercy Perry’s median price of $319 is 25% below the median hospital's median price ($427), higher than 40% 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: 16 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 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 2 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 3 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $218.25 | $218.25 | $56.25 – $380.25 |
| 4 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $233.71 | $233.71 | $233.71 – $233.71 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $442.47 | $442.47 | $114.04 – $770.89 |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $451.05 | $451.05 | $116.25 – $785.85 |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $460.08 | $460.08 | $118.58 – $801.57 |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $460.22 | $460.22 | $118.61 – $801.82 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $527.42 | $527.42 | $135.93 – $918.91 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $611.10 | $611.10 | $157.50 – $1,065 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $689.67 | $689.67 | $177.75 – $1,202 |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $691.13 | $691.13 | $178.13 – $1,204 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $829.35 | $829.35 | $213.75 – $1,445 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $902.10 | $902.10 | $232.50 – $1,572 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $902.10 | $902.10 | $232.50 – $1,572 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $953.03 | $953.03 | $245.63 – $1,660 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $953.03 | $953.03 | $245.63 – $1,660 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $960.30 | $960.30 | $247.50 – $1,673 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $960.30 | $960.30 | $247.50 – $1,673 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1,019 | $1,019 | $262.50 – $1,775 |
Last updated: Mar 12, 2026
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