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/Contrast
Binghamton, NY
See all hospitals reporting CPT 70487 →Price type
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES’s median price of $198 is 54% below the median hospital's median price ($427), higher than 18% 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, 16 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 facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 2 | Blue Cross Blue Shield medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 3 | Humana medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 4 | Tricare medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 5 | UnitedHealthcare managed medicaid facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 6 | UnitedHealthcare medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 7 | WellCare fidelis medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 8 | WellCare managed medicaid facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 9 | WellCare medicare advantage facility · other · outpatient | $197.97 | $197.97 | $197.97 – $197.97 |
| 10 | Blue Cross Blue Shield excellus facility · fee schedule · both | $331.60 | $331.60 | $331.60 – $331.60 |
| 11 | Blue Cross Blue Shield highmark facility · fee schedule · both | $331.60 | $331.60 | $331.60 – $331.60 |
| 12 | Blue Cross Blue Shield highmark ppo facility · fee schedule · both | $331.60 | $331.60 | $331.60 – $331.60 |
| 13 | Blue Cross Blue Shield excellus facility · fee schedule · outpatient | $355.49 | $355.49 | $355.49 – $355.49 |
| 14 | Blue Cross Blue Shield highmark facility · fee schedule · outpatient | $355.49 | $355.49 | $355.49 – $355.49 |
| 15 | Blue Cross Blue Shield highmark ppo facility · fee schedule · outpatient | $355.49 | $355.49 | $355.49 – $355.49 |
| 16 | UnitedHealthcare student facility · case rate · outpatient | $1,483 | $1,483 | $1,483 – $1,483 |
Last updated: Mar 31, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.