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 Maxillo W/ Cont
6535 Nemours Parkway
See all hospitals reporting CPT 70487 →Price type
Nemours Children's Hospital’s median price of $1.7k is 294% above the median hospital's median price ($427), higher than 86% 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: 6 payers, 19 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 tricare other · outpatient | $178.69 | $178.69 | $178.69 – $178.69 |
| 2 | Aetna all case rate · both | $630.00 | $630.00 | $630.00 – $630.00 |
| 3 | Florida Blue my blue network fee schedule · outpatient | $776.79 | $776.79 | $776.79 – $776.79 |
| 4 | Florida Blue blue select fee schedule · outpatient | $805.14 | $805.14 | $805.14 – $805.14 |
| 5 | Florida Blue hmo fee schedule · outpatient | $873.18 | $873.18 | $873.18 – $873.18 |
| 6 | Florida Blue network blue fee schedule · outpatient | $971.46 | $971.46 | $971.46 – $971.46 |
| 7 | Florida Blue ppo fee schedule · outpatient | $1,353 | $1,353 | $1,353 – $1,353 |
| 8 | UnitedHealthcare all case rate · inpatient | $1,426 | $1,426 | $1,426 – $1,426 |
| 9 | UnitedHealthcare all per diem · outpatient | $1,426 | $1,426 | $1,426 – $1,426 |
| 10 | Cigna all case rate · inpatient | $1,443 | $1,443 | $1,443 – $1,443 |
| 11 | Cigna all per diem · outpatient | $1,443 | $1,443 | $1,443 – $1,443 |
| 12 | Florida Blue phs fee schedule · outpatient | $1,474 | $1,474 | $1,474 – $1,474 |
| 13 | Florida Blue my blue network percent of total billed charges · inpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 14 | Florida Blue blue select percent of total billed charges · inpatientfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 15 | Florida Blue hmo percent of total billed charges · inpatientfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 16 | Florida Blue network blue percent of total billed charges · inpatientfrom % of charges | $2,147 | $2,147 | $2,147 – $2,147 |
| 17 | Florida Blue ppo percent of total billed charges · inpatientfrom % of charges | $2,484 | $2,484 | $2,484 – $2,484 |
| 18 | Florida Blue phs percent of total billed charges · inpatientfrom % of charges | $2,568 | $2,568 | $2,568 – $2,568 |
| 19 | First Health commercial percent of total billed charges · bothfrom % of charges | $3,284 | $3,284 | $3,284 – $3,284 |
Last updated: Mar 10, 2026
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