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
HC CT MAXILLOFACIAL AREA W/ CONTRAST
Winston Salem, NC
See all hospitals reporting CPT 70487 →Price type
North Carolina Baptist Hospital’s median price of $913 is 114% above the median hospital's median price ($427), higher than 72% 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, 35 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 medicare advantage other · outpatient | $172.33 | $172.33 | $172.33 – $172.33 |
| 2 | Humana medicare advantage other · outpatient | $174.05 | $174.05 | $174.05 – $174.05 |
| 3 | UnitedHealthcare medicare advantage other · outpatient | $210.60 | $210.60 | $210.60 – $210.60 |
| 4 | Medcost employee managed care percent of total billed charges · outpatientfrom % of charges | $530.64 | $530.64 | $530.64 – $530.64 |
| 5 | Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges | $600.59 | $600.59 | $600.59 – $600.59 |
| 6 | UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $613.45 | $613.45 | $613.45 – $613.45 |
| 7 | WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $613.45 | $613.45 | $613.45 – $613.45 |
| 8 | Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges | $635.16 | $635.16 | $635.16 – $635.16 |
| 9 | Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges | $710.20 | $710.20 | $710.20 – $710.20 |
| 10 | Ambetter managed care percent of total billed charges · outpatientfrom % of charges | $723.60 | $723.60 | $723.60 – $723.60 |
| 11 | Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges | $774.52 | $774.52 | $774.52 – $774.52 |
| 12 | Oscar managed care percent of total billed charges · outpatientfrom % of charges | $804.00 | $804.00 | $804.00 – $804.00 |
| 13 | Medcost employee managed care percent of total billed charges · inpatientfrom % of charges | $820.08 | $820.08 | $820.08 – $820.08 |
| 14 | Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges | $829.46 | $829.46 | $829.46 – $829.46 |
| 15 | Medcost mbs managed care percent of total billed charges · inpatientfrom % of charges | $887.08 | $887.08 | $887.08 – $887.08 |
| 16 | Medcost mbs managed care percent of total billed charges · outpatientfrom % of charges | $887.08 | $887.08 | $887.08 – $887.08 |
| 17 | Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges | $938.00 | $938.00 | $938.00 – $938.00 |
| 18 | Oscar managed care percent of total billed charges · inpatientfrom % of charges | $964.80 | $964.80 | $964.80 – $964.80 |
| 19 | Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges | $970.16 | $970.16 | $970.16 – $970.16 |
| 20 | Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges | $984.90 | $984.90 | $984.90 – $984.90 |
| 21 | Cigna managed care (adult) case rate · outpatient | $1,047 | $1,047 | $1,047 – $1,047 |
| 22 | Cigna managed care (pediatrics) case rate · outpatient | $1,047 | $1,047 | $1,047 – $1,047 |
| 23 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $1,075 | $1,075 | $1,075 – $1,075 |
| 24 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $1,099 | $1,099 | $1,099 – $1,099 |
| 25 | UnitedHealthcare iex individual managed care case rate · outpatient | $1,115 | $1,115 | $1,115 – $1,115 |
Last updated: Oct 8, 2025
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