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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Middlebury, VT
See all hospitals reporting CPT 70487 →Price type
Porter Hospital Inc’s median price of $161 is 62% below the median hospital's median price ($427), higher than 5% 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: 7 payers, 21 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $35.22 | $35.22 | $35.22 – $35.22 |
| 2 | Humana tricare professional · fee schedule · both | $48.03 | $48.03 | $48.03 – $48.03 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $50.56 | $50.56 | $50.56 – $50.56 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $50.56 | $50.56 | $50.56 – $50.56 |
| 5 | Bcbs Vt medicare advantage professional · fee schedule · both | $58.14 | $58.14 | $58.14 – $58.14 |
| 6 | Cigna commercial professional · fee schedule · both | $72.92 | $72.92 | $72.92 – $72.92 |
| 7 | Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both | $81.83 | $81.83 | $81.83 – $81.83 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $103.38 | $103.38 | $95.00 – $111.76 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $116.65 | $116.65 | $116.65 – $116.65 |
| 10 | Humana tricare facility · fee schedule · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 11 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $215.53 | $215.53 | $215.53 – $215.53 |
| 12 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $265.05 | $265.05 | $265.05 – $265.05 |
| 13 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $656.59 | $656.59 | $656.59 – $656.59 |
| 14 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $656.59 | $656.59 | $656.59 – $656.59 |
| 15 | Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $670.56 | $670.56 | $670.56 – $670.56 |
| 16 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,090 | $1,090 | $1,090 – $1,090 |
| 17 | Bcbs Vt indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1,217 | $1,217 | $1,217 – $1,217 |
| 18 | Bcbs Vt the vermont health plan/vermont health partnership facility · percent of total billed charges · outpatientfrom % of charges | $1,217 | $1,217 | $1,217 – $1,217 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,271 | $1,271 | $1,271 – $1,271 |
| 20 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $1,327 | $1,327 | $1,327 – $1,327 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,383 | $1,383 | $1,383 – $1,383 |
Last updated: Apr 28, 2026
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