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 W/ CONTRAST
Waverly, OH
See all hospitals reporting CPT 70487 →Price type
Pike Health Services Inc’s median price of $1.7k is 287% 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: 10 payers, 29 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 | Caresource commercial facility · case rate · outpatient | $358.40 | $358.40 | $358.40 – $358.40 |
| 2 | Molina commercial facility · case rate · outpatient | $358.40 | $358.40 | $358.40 – $358.40 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $552.00 | $552.00 | $552.00 – $552.00 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $552.00 | $552.00 | $552.00 – $552.00 |
| 5 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $552.00 | $552.00 | $552.00 – $552.00 |
| 6 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $552.00 | $552.00 | $552.00 – $552.00 |
| 7 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $563.04 | $563.04 | $563.04 – $563.04 |
| 8 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $713.00 | $713.00 | $713.00 – $713.00 |
| 9 | Aetna commercial facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 10 | First Health commercial facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 11 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,458 | $1,458 | $1,458 – $1,458 |
| 12 | Anthem ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,458 | $1,458 | $1,458 – $1,458 |
| 13 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,516 – $1,516 |
| 14 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,516 – $1,516 |
| 15 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
| 16 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
| 17 | Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
| 18 | Medical Mutual managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,665 | $1,665 | $1,665 – $1,665 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,665 | $1,665 | $1,665 – $1,665 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $1,704 | $1,704 | $1,704 – $1,704 |
| 22 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1,704 | $1,704 | $1,704 – $1,704 |
| 23 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,803 | $1,803 | $1,803 – $1,803 |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,872 | $1,872 | $1,872 – $1,872 |
| 25 | UnitedHealthcare all plans facility · percent of total billed charges · outpatientfrom % of charges | $1,927 | $1,927 | $1,927 – $1,927 |
Last updated: Aug 19, 2026
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