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
Grayling, MI
See all hospitals reporting CPT 70487 →Price type
Munson Healthcare Grayling’s median price of $175 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: 8 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 | Molina managed medicaid professional · fee schedule · both | $33.87 | $33.87 | $33.87 – $33.87 |
| 2 | UnitedHealthcare managed medicaid professional · fee schedule · both | $33.87 | $33.87 | $33.87 – $33.87 |
| 3 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $34.55 | $34.55 | $34.55 – $34.55 |
| 4 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $91.40 | $91.40 | $91.40 – $91.40 |
| 5 | Molina managed medicaid facility · fee schedule · outpatient | $91.40 | $91.40 | $91.40 – $91.40 |
| 6 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $91.40 | $91.40 | $91.40 – $91.40 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $89.75 | $93.52 | $50.53 – $140.28 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $91.32 | $95.06 | $51.27 – $142.60 |
| 9 | Humana medicare advantage professional · fee schedule · both | $91.32 | $95.06 | $51.27 – $142.60 |
| 10 | Molina medicare advantage professional · fee schedule · both | $91.32 | $95.06 | $51.27 – $142.60 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $91.32 | $95.06 | $51.27 – $142.60 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $135.08 | $135.08 | $70.68 – $199.48 |
| 13 | Aetna commercial professional · fee schedule · both | $137.82 | $142.54 | $75.99 – $213.81 |
| 14 | Cigna commercial professional · fee schedule · both | $152.52 | $154.86 | $79.77 – $232.29 |
| 15 | Blue Cross Blue Shield commercial professional · fee schedule · both | $161.91 | $164.39 | $84.68 – $246.59 |
| 16 | Aetna medicare advantage facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 17 | Humana medicare advantage facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 18 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 19 | WellCare medicare advantage facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 20 | Molina medicare advantage facility · fee schedule · outpatient | $188.75 | $188.75 | $188.75 – $188.75 |
| 21 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $281.61 | $281.61 | $281.61 – $281.61 |
| 22 | Cigna commercial facility · fee schedule · outpatient | $353.06 | $353.06 | $353.06 – $353.06 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 24 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,693 | $1,693 | $1,693 – $1,693 |
Last updated: Apr 17, 2026
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