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
Pocahontas, IA
See all hospitals reporting CPT 70487 →Price type
Pocahontas Community Hospital’s median price of $1.6k is 268% above the median hospital's median price ($427), higher than 85% 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, 17 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 | Molina medicare facility · percent of total billed charges · outpatientfrom % of charges | $828.00 | $828.00 | $828.00 – $828.00 |
| 2 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $894.24 | $894.24 | $894.24 – $894.24 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $993.60 | $993.60 | $993.60 – $993.60 |
| 4 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,060 | $1,060 | $1,060 – $1,060 |
| 5 | Blue Cross Blue Shield hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,391 | $1,391 | $1,391 – $1,391 |
| 6 | Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,391 | $1,391 | $1,391 – $1,391 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,557 | $1,557 | $1,557 – $1,557 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,557 | $1,557 | $1,557 – $1,557 |
| 9 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,573 | $1,573 | $1,573 – $1,573 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,590 | $1,590 | $1,590 – $1,590 |
| 11 | UnitedHealthcare medicare facility · percent of total billed charges · inpatientfrom % of charges | $1,590 | $1,590 | $1,590 – $1,590 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,590 | $1,590 | $1,590 – $1,590 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,606 | $1,606 | $1,606 – $1,606 |
| 14 | Aetna medicare facility · per diem · inpatient | $1,656 | $1,656 | $1,656 – $1,656 |
| 15 | Blue Cross Blue Shield medicare facility · per diem · inpatient | $1,656 | $1,656 | $1,656 – $1,656 |
| 16 | Humana medicare facility · per diem · inpatient | $1,656 | $1,656 | $1,656 – $1,656 |
| 17 | Molina medicaid facility · per diem · inpatient | $1,656 | $1,656 | $1,656 – $1,656 |
Last updated: Mar 29, 2026
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