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/dye
Olympia, WA
See all hospitals reporting CPT 70487 →Price type
Providence Health And Services - Washington’s median price of $427 is about the same as the median hospital's median price ($427), higher than 50% 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, 18 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 | Kaiser medicare managed care plan fee schedule · outpatient | $201.73 | $201.73 | $201.73 – $201.73 |
| 2 | Aetna gatekeeper medicare managed care - hmo fee schedule · outpatient | $207.78 | $207.78 | $207.78 – $207.78 |
| 3 | Aetna non-gatekeeper medicare managed care - ppo fee schedule · outpatient | $209.79 | $209.79 | $209.79 – $209.79 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $215.85 | $215.85 | $215.85 – $215.85 |
| 5 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $217.86 | $217.86 | $217.86 – $217.86 |
| 6 | Humana medicare managed care plan fee schedule · outpatient | $221.90 | $221.90 | $221.90 – $221.90 |
| 7 | Molina exchange fee schedule · outpatient | $340.92 | $340.92 | $340.92 – $340.92 |
| 8 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $363.11 | $363.11 | $363.11 – $363.11 |
| 9 | UnitedHealthcare navigate other commercial plan fee schedule · outpatient | $369.45 | $369.45 | $171.47 – $567.42 |
| 10 | UnitedHealthcare aco tiered other commercial plan fee schedule · outpatient | $458.53 | $458.53 | $242.07 – $674.99 |
| 11 | Blue Cross Blue Shield regence uniform medical plan other commercial plan fee schedule · outpatient | $480.75 | $480.75 | $480.75 – $480.75 |
| 12 | Blue Cross Blue Shield premera heritage signature other commercial plan fee schedule · outpatient | $563.16 | $563.16 | $563.16 – $563.16 |
| 13 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $575.68 | $575.68 | $575.68 – $575.68 |
| 14 | Kaiser all commercial plans fee schedule · outpatient | $641.89 | $641.89 | $641.89 – $641.89 |
| 15 | Blue Cross Blue Shield regence all commercial plans fee schedule · outpatient | $649.35 | $649.35 | $649.35 – $649.35 |
| 16 | Cigna all commercial plans fee schedule · outpatient | $667.42 | $667.42 | $667.42 – $667.42 |
| 17 | UnitedHealthcare all commercial plans fee schedule · outpatient | $788.09 | $788.09 | $788.09 – $788.09 |
| 18 | Aetna all commercial plans fee schedule · outpatient | $791.12 | $791.12 | $791.12 – $791.12 |
Last updated: Apr 1, 2026
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