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
Philadelphia, PA
See all hospitals reporting CPT 70487 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $1.7k is 297% above the median hospital's median price ($427), higher than 87% 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: 15 payers, 33 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 unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $157.60 | $157.60 | $157.60 – $157.60 |
| 2 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $183.46 | $183.46 | $183.46 – $183.46 |
| 3 | Medicare medicare facility · fee schedule · outpatient | $183.46 | $183.46 | $183.46 – $183.46 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 5 | Highmark highmark medicare advantage facility · other · outpatient | $187.13 | $187.13 | $187.13 – $187.13 |
| 6 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $188.96 | $188.96 | $188.96 – $188.96 |
| 7 | Humana humana medicare facility · fee schedule · outpatient | $188.96 | $188.96 | $188.96 – $188.96 |
| 8 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $194.47 | $194.47 | $194.47 – $194.47 |
| 9 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $194.47 | $194.47 | $194.47 – $194.47 |
| 10 | Clover clover health plan facility · other · outpatient | $198.14 | $198.14 | $198.14 – $198.14 |
| 11 | Cigna cigna new business facility · fee schedule · outpatient | $282.53 | $282.53 | $282.53 – $282.53 |
| 12 | Cigna cigna facility · fee schedule · outpatient | $291.00 | $291.00 | $291.00 – $291.00 |
| 13 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $303.27 | $303.27 | $303.27 – $303.27 |
| 14 | Oscar oscar health plan facility · other · outpatient | $311.88 | $311.88 | $311.88 – $311.88 |
| 15 | Highmark highmark facility · other · outpatient | $385.80 | $385.80 | $385.80 – $385.80 |
| 16 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · other · outpatient | $404.07 | $404.07 | $404.07 – $404.07 |
| 17 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $599.09 | $599.09 | $599.09 – $599.09 |
| 18 | Aetna aetna commercial facility · fee schedule · outpatient | $603.00 | $603.00 | $603.00 – $603.00 |
| 19 | Optum optum urn-transplant commercial facility · other · outpatient | $917.30 | $917.30 | $917.30 – $917.30 |
| 20 | UnitedHealthcare unitedhealthcare new business facility · other · outpatient | $1,176 | $1,176 | $1,176 – $1,176 |
| 21 | Bcbs Nj horizon blue cross of nj-indemnity facility · other · outpatient | $1,212 | $1,212 | $1,212 – $1,212 |
| 22 | Bcbs Nj horizon blue cross of nj-ppo facility · other · outpatient | $1,212 | $1,212 | $1,212 – $1,212 |
| 23 | UnitedHealthcare unitedhealthcare non options facility · other · outpatient | $1,219 | $1,219 | $1,219 – $1,219 |
| 24 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $2,827 | $2,827 | $2,827 – $2,827 |
| 25 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $2,827 | $2,827 | $2,827 – $2,827 |
Last updated: Mar 19, 2026
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