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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Bronx, NY
See all hospitals reporting CPT 70487 →Price type
Montefiore Medical Center’s median price of $83 is 81% below the median hospital's median price ($427), higher than 1% 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: 12 payers, 63 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 | UnitedHealthcare empire plan - midlevels fee schedule · both | $46.92 | $46.92 | $46.92 – $46.92 |
| 2 | Blue Cross Blue Shield medicare midlevels fee schedule · both | $48.51 | $48.51 | $48.51 – $48.51 |
| 3 | Aetna medicare midlevels fee schedule · both | $49.24 | $49.24 | $49.24 – $49.24 |
| 4 | Cigna medicare midlevels fee schedule · both | $49.24 | $49.24 | $49.24 – $49.24 |
| 5 | Humana medicare midlevels fee schedule · both | $49.24 | $49.24 | $49.24 – $49.24 |
| 6 | Medicare part b - pa's & np's fee schedule · both | $49.24 | $49.24 | $49.24 – $49.24 |
| 7 | WellCare medicaid - pas & nps fee schedule · both | $49.24 | $49.24 | $49.24 – $49.24 |
| 8 | UnitedHealthcare empire plan md/dos fee schedule · both | $55.03 | $55.03 | $55.03 – $55.03 |
| 9 | UnitedHealthcare essential plan 3 & 4 fee schedule · both | $55.32 | $55.32 | $55.32 – $55.32 |
| 10 | UnitedHealthcare medicare fee schedule · both | $55.32 | $55.32 | $55.32 – $55.32 |
| 11 | Blue Cross Blue Shield medicare fee schedule · both | $57.07 | $57.07 | $57.07 – $57.07 |
| 12 | Blue Cross Blue Shield essential 1 & 2 fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 13 | Blue Cross Blue Shield essential 3 & 4 fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 14 | Blue Cross Blue Shield medicare/dual fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 15 | Cigna medicare fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 16 | Medicare part b fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 17 | Oscar medicare fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 18 | WellCare essential plan 3 & 4 - pcps (medicaid) fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 19 | WellCare medicaid specialists fee schedule · both | $57.93 | $57.93 | $57.93 – $57.93 |
| 20 | UnitedHealthcare medicaid fee schedule · both | $58.48 | $58.48 | $58.48 – $58.48 |
| 21 | Humana medicare fee schedule · both | $59.09 | $59.09 | $59.09 – $59.09 |
| 22 | WellCare medicare - pas & nps fee schedule · both | $62.68 | $62.68 | $62.68 – $62.68 |
| 23 | WellCare essential plan 3 & 4 - specialists & ob/gyns (medicaid) fee schedule · both | $66.62 | $66.62 | $66.62 – $66.62 |
| 24 | WellCare medicaid - ob/gyn fee schedule · both | $66.62 | $66.62 | $66.62 – $66.62 |
| 25 | WellCare medicare - ob/gyns fee schedule · both | $67.66 | $67.66 | $67.66 – $67.66 |
Last updated: Sep 28, 2026
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