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
Moberly, MO
See all hospitals reporting CPT 70487 →Price type
Moberly Hospital Company LLC’s median price of $871 is 104% above the median hospital's median price ($427), higher than 71% 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: 8 payers, 18 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 | Tricare node tricare facility · fee schedule · outpatient | $177.17 | $177.17 | $177.17 – $177.17 |
| 2 | Optum node united optum va ccn facility · fee schedule · outpatient | $188.16 | $188.16 | $188.16 – $188.16 |
| 3 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $188.85 | $188.85 | $188.85 – $188.85 |
| 4 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $194.41 | $194.41 | $194.41 – $194.41 |
| 5 | UnitedHealthcare uhc medicaid facility · fee schedule · outpatient | $250.40 | $250.40 | $250.40 – $250.40 |
| 6 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $912.25 | $912.25 | $912.25 – $912.25 |
| 7 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $912.25 | $912.25 | $912.25 – $912.25 |
| 8 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $1,924 | $1,924 | $1,924 – $1,924 |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1,924 | $1,924 | $1,924 – $1,924 |
| 10 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $1,924 | $1,924 | $1,924 – $1,924 |
| 11 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $1,924 | $1,924 | $1,924 – $1,924 |
| 12 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $2,193 | $2,193 | $2,193 – $2,193 |
| 13 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $2,193 | $2,193 | $2,193 – $2,193 |
| 14 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2,237 | $2,237 | $2,237 – $2,237 |
| 15 | Aetna aetna auto facility · percent of total billed charges · inpatientfrom % of charges | $2,339 | $2,339 | $2,339 – $2,339 |
| 16 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $2,339 | $2,339 | $2,339 – $2,339 |
| 17 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $2,368 | $2,368 | $2,368 – $2,368 |
| 18 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $2,368 | $2,368 | $2,368 – $2,368 |
Last updated: Apr 1, 2026
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