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/Contrast
Sayre, PA
See all hospitals reporting CPT 70487 →Price type
Robert Packer Hospital’s median price of $615 is 44% above the median hospital's median price ($427), higher than 60% 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: 5 payers, 16 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 | Blue Cross Blue Shield excellus facility · fee schedule · both | $276.49 | $276.49 | $276.49 – $276.49 |
| 2 | Blue Cross Blue Shield excellus facility · fee schedule · outpatient | $276.49 | $276.49 | $276.49 – $276.49 |
| 3 | Blue Cross Blue Shield highmark ppo facility · fee schedule · both | $276.49 | $276.49 | $276.49 – $276.49 |
| 4 | Blue Cross Blue Shield highmark ppo facility · fee schedule · outpatient | $276.49 | $276.49 | $276.49 – $276.49 |
| 5 | Blue Cross Blue Shield highmark facility · other · both | $593.11 | $593.11 | $593.11 – $593.11 |
| 6 | Blue Cross Blue Shield highmark indemnity facility · other · both | $593.11 | $593.11 | $593.11 – $593.11 |
| 7 | Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $615.02 | $615.02 | $615.02 – $615.02 |
| 8 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $615.02 | $615.02 | $615.02 – $615.02 |
| 9 | Cigna behavioral facility · percent of total billed charges · bothfrom % of charges | $2,150 | $2,150 | $2,150 – $2,150 |
| 10 | Cigna behavioral facility · percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,150 | $2,150 – $2,150 |
| 11 | UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges | $2,977 | $2,977 | $2,977 – $2,977 |
| 12 | UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges | $2,977 | $2,977 | $2,977 – $2,977 |
| 13 | Tricare medicare advantage facility · other · outpatient | $4,078 | $4,078 | $4,078 – $4,078 |
| 14 | UnitedHealthcare medicare advantage facility · other · outpatient | $4,078 | $4,078 | $4,078 – $4,078 |
| 15 | WellCare fidelis medicare advantage facility · other · outpatient | $4,078 | $4,078 | $4,078 – $4,078 |
| 16 | WellCare managed medicaid facility · other · outpatient | $4,078 | $4,078 | $4,078 – $4,078 |
Last updated: Mar 31, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.