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
MAXILLOFACIAL, W/ CONTRAST
Columbus, OH
See all hospitals reporting CPT 70487 →Price type
Nationwide Children's Hospital’s median price of $685 is 60% above the median hospital's median price ($427), higher than 63% 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: 10 payers, 27 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 | Aetna all products professional · fee schedule · outpatient | $69.90 | $69.90 | $69.90 – $69.90 |
| 2 | Caresource just4me/marketplace professional · fee schedule · outpatient | $76.49 | $76.49 | $76.49 – $76.49 |
| 3 | Humana all products professional · fee schedule · outpatient | $121.68 | $121.68 | $121.68 – $121.68 |
| 4 | UnitedHealthcare all products professional · fee schedule · outpatient | $153.23 | $153.23 | $150.11 – $156.34 |
| 5 | Tricare all products professional · percent of total billed charges · outpatientfrom % of charges | $186.90 | $186.90 | $186.90 – $186.90 |
| 6 | Anthem all products professional · fee schedule · outpatient | $192.14 | $192.14 | $192.14 – $192.14 |
| 7 | Aetna coventry cares wv professional · percent of total billed charges · outpatientfrom % of charges | $200.25 | $200.25 | $200.25 – $200.25 |
| 8 | Cigna all products professional · percent of total billed charges · outpatientfrom % of charges | $200.25 | $200.25 | $200.25 – $200.25 |
| 9 | Caresource just4me/marketplace facility · fee schedule · outpatient | $268.80 | $268.80 | $268.80 – $268.80 |
| 10 | Anthem all products facility · fee schedule · outpatient | $530.15 | $530.15 | $375.06 – $685.24 |
| 11 | Anthem managed medicaid - non-cap facility · other · outpatient | $604.86 | $604.86 | $604.86 – $604.86 |
| 12 | Caresource managed medicaid - non-cap facility · other · outpatient | $604.86 | $604.86 | $604.86 – $604.86 |
| 13 | Humana managed medicaid - non-cap facility · other · outpatient | $604.86 | $604.86 | $604.86 – $604.86 |
| 14 | Molina managed medicaid - non-cap facility · other · outpatient | $604.86 | $604.86 | $604.86 – $604.86 |
| 15 | UnitedHealthcare managed medicaid - non-cap facility · other · outpatient | $604.86 | $604.86 | $604.86 – $604.86 |
| 16 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $1,077 | $1,077 | $903.50 – $1,251 |
| 17 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,251 | $1,251 | $1,251 – $1,251 |
| 18 | Anthem all products facility · percent of total billed charges · outpatientfrom % of charges | $1,265 | $1,265 | $1,265 – $1,265 |
| 19 | Humana all products facility · percent of total billed charges · outpatientfrom % of charges | $1,293 | $1,293 | $1,293 – $1,293 |
| 20 | Anthem all products facility · percent of total billed charges · inpatientfrom % of charges | $1,307 | $1,307 | $1,307 – $1,307 |
| 21 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,307 | $1,307 | $1,307 – $1,307 |
| 22 | Aetna all products facility · percent of total billed charges · inpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
| 23 | Aetna coventry cares wv facility · percent of total billed charges · outpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
| 24 | Humana all products facility · percent of total billed charges · inpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
| 25 | UnitedHealthcare all products facility · percent of total billed charges · inpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
Last updated: Apr 1, 2026
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