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 Max Facial W Contrast
Smithville, MO
See all hospitals reporting CPT 70487 →Price type
Saint Luke’s North Hospital’s median price of $1.0k is 136% above the median hospital's median price ($427), higher than 74% 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, 67 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 | Humana zzzhumana kansas city ppox [75002] fee schedule · both | $107.65 | $107.65 | $107.65 – $107.65 |
| 2 | Aetna zzzaetna carelink exchange [50016] fee schedule · both | $136.67 | $136.67 | $136.67 – $136.67 |
| 3 | Humana zzzhumana commercial ppo pos [75001] fee schedule · both | $176.15 | $176.15 | $176.15 – $176.15 |
| 4 | UnitedHealthcare uhc individual exchange benefit plan [30012] fee schedule · both | $187.48 | $187.48 | $187.48 – $187.48 |
| 5 | Aetna aetna local [50005] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 6 | Aetna aetna meritain local [50015] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 7 | Aetna aetna meritain national [50001] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 8 | Aetna aetna national [50006] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 9 | Aetna aetna signature misc ppo [50010] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 10 | Aetna aetna signatures luminare pob 2905 [50002] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 11 | Aetna aetna signatures luminare pob 2920 [50000] fee schedule · both | $189.82 | $189.82 | $189.82 – $189.82 |
| 12 | Cigna cigna connect epo exchange [70015] fee schedule · both | $197.31 | $197.31 | $197.31 – $197.31 |
| 13 | UnitedHealthcare uhc core essential [30018] fee schedule · both | $276.24 | $276.24 | $276.24 – $276.24 |
| 14 | UnitedHealthcare uhc core essentials all savers [30019] fee schedule · both | $276.24 | $276.24 | $276.24 – $276.24 |
| 15 | UnitedHealthcare uhc core umr [30020] fee schedule · both | $276.24 | $276.24 | $276.24 – $276.24 |
| 16 | Blue Cross Blue Shield bc kc ucm kcmo blue select plus [40029] fee schedule · both | $308.01 | $308.01 | $308.01 – $308.01 |
| 17 | Blue Cross Blue Shield bc kc hpn [40033] fee schedule · both | $319.47 | $319.47 | $319.47 – $319.47 |
| 18 | Blue Cross Blue Shield bc out of area hpn [40034] fee schedule · both | $319.47 | $319.47 | $319.47 – $319.47 |
| 19 | Blue Cross Blue Shield bc kc preferred care blue exchange [40016] fee schedule · both | $326.72 | $326.72 | $326.72 – $326.72 |
| 20 | Blue Cross Blue Shield bc kc federal [40012] fee schedule · both | $362.50 | $362.50 | $362.50 – $362.50 |
| 21 | Blue Cross Blue Shield bc kc preferred care blue [40018] fee schedule · both | $362.50 | $362.50 | $362.50 – $362.50 |
| 22 | Blue Cross Blue Shield bc out of area pref care blue ppo [40011] fee schedule · both | $362.50 | $362.50 | $362.50 – $362.50 |
| 23 | Blue Cross Blue Shield zzzbc preferred care blue slhs [40027] fee schedule · both | $438.01 | $438.01 | $438.01 – $438.01 |
| 24 | Cigna cigna bjc flex or hdhp [70017] fee schedule · both | $450.29 | $450.29 | $450.29 – $450.29 |
| 25 | UnitedHealthcare zzzuhc slhs umr choice plus [30021] per diem · both | $694.50 | $694.50 | $694.50 – $694.50 |
Last updated: Dec 31, 2025
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.