CT scan of face and jaw with contrast dye at Saint Thomas Regional Hospitals

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT MAXILLOFACIAL W/DYE

Smithville, TN

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How this price compares nationally

Saint Thomas Regional Hospitals’s median price of $235 is 45% below the median hospital's median price ($427), higher than 25% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at Saint Thomas Regional Hospitals

Negotiated rates from the hospital’s own file: 9 payers, 42 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 2428_bcbs blue care (dekalb) 20221001 fee schedule · outpatient	$160.16	$160.16	$160.16 – $160.16
2	Blue Cross Blue Shield 2953_rhtn rptn sdtn thtn medicare advantage blue cross blue shield bluecare plus outpatient 20250101 other · outpatient	$168.03	$168.03	$168.03 – $168.03
3	Blue Cross Blue Shield 3216_rhtn rptn sdtn thtn medicare advantage blue cross blue shield bluecare plus inpatient 20251001 other · inpatient	$168.03	$168.03	$168.03 – $168.03
4	Clover 2943_medicare advantage clover outpatient 20250101 other · outpatient	$168.03	$168.03	$168.03 – $168.03
5	Clover 3227_medicare advantage clover inpatient 20251001 other · inpatient	$168.03	$168.03	$168.03 – $168.03
6	Humana 2945_medicare advantage humana outpatient 20250101 other · outpatient	$168.03	$168.03	$168.03 – $168.03
7	Humana 3211_sdtn rhtn medicare advantage humana inpatient 20251001 other · inpatient	$168.03	$168.03	$168.03 – $168.03
8	Optum 2935_medicare advantage optum va outpatient 20250101 other · outpatient	$168.03	$168.03	$168.03 – $168.03
9	Optum 3205_medicare advantage optum va inpatient 20251001 other · inpatient	$168.03	$168.03	$168.03 – $168.03
10	UnitedHealthcare 2951_mttn sttn rptn medicare advantage uhc outpatient 20250101 other · outpatient	$168.03	$168.03	$168.03 – $168.03
11	UnitedHealthcare 3226_medicare advantage uhc inpatient 20251001 other · inpatient	$168.03	$168.03	$168.03 – $168.03
12	Aetna 2956_rhtn rptn sdtn thtn mttn sttn medicare advantage aetna outpatient 20250101 other · outpatient	$171.39	$171.39	$171.39 – $171.39
13	Aetna 3214_rptn rhtn sdtn thtn mttn sttn medicare advantage aetna inpatient 20251001 other · inpatient	$171.39	$171.39	$171.39 – $171.39
14	Blue Cross Blue Shield 2941_medicare advantage blue cross blue shield blue advantage outpatient 20250101 other · outpatient	$176.43	$176.43	$176.43 – $176.43
15	Blue Cross Blue Shield 3238_thtn medicare advantage blue cross blue shield inpatient 20251001 other · inpatient	$176.43	$176.43	$176.43 – $176.43
16	Blue Cross Blue Shield 3147_sttn blue cross blue shield network e 20241231 fee schedule · outpatient	$197.61	$197.61	$197.61 – $197.61
17	Blue Cross Blue Shield 2424_bcbs tenncare select (dekalb) 20221001 fee schedule · outpatient	$213.17	$213.17	$213.17 – $213.17
18	Ambetter 2933_ambetter of tn outpatient 20250101 other · outpatient	$218.44	$218.44	$218.44 – $218.44
19	Ambetter 3236_ambetter of tn inpatient 20251001 other · inpatient	$218.44	$218.44	$218.44 – $218.44
20	Oscar 506_oscar health (dekalb) op 20180101 other · outpatient	$235.24	$235.24	$235.24 – $235.24
21	Blue Cross Blue Shield 3146_mttn blue cross blue shield network e 20241231 fee schedule · outpatient	$261.25	$261.25	$261.25 – $261.25
22	Cigna 2825_cigna surefit (dekalb) 20241001 fee schedule · outpatient	$278.69	$278.69	$278.69 – $278.69
23	Blue Cross Blue Shield 2422_blue cross blue shield missionpoint regional 20221001 fee schedule · outpatient	$291.40	$291.40	$291.40 – $291.40
24	UnitedHealthcare 3171_mttn uhc 20250715 fee schedule · outpatient	$291.55	$291.55	$291.55 – $291.55
25	UnitedHealthcare 3172_rptn uhc 20250715 fee schedule · outpatient	$291.55	$291.55	$291.55 – $291.55

Page 1 of 2 · 42 rates

Last updated: Jan 1, 2026

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