CT scan of face and jaw with contrast dye at Saint Vincent Health Center

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

CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL

ERIE, PA

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How this price compares nationally

Saint Vincent Health Center’s median price of $168 is 61% below the median hospital's median price ($427), higher than 7% 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 Vincent Health Center

Negotiated rates from the hospital’s own file: 8 payers, 56 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 united healthcare medicaid fee schedule · inpatient	$78.30	$78.30	$78.30 – $78.30
2	UnitedHealthcare united healthcare medicaid fee schedule · outpatient	$128.00	$111.43	$78.30 – $128.00
3	Highmark highmark together blue fee schedule · outpatient	$114.87	$126.46	$61.63 – $182.55
4	Aetna aetna better health chip fee schedule · outpatient	$147.40	$127.60	$88.00 – $147.40
5	UnitedHealthcare united healthcare chip fee schedule · outpatient	$128.00	$128.00	$128.00 – $128.00
6	Highmark highmark together blue fee schedule · inpatient	$120.91	$129.63	$61.63 – $182.55
7	Highmark highmark blue high performance fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
8	Highmark highmark community blue fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
9	Highmark highmark connect blue fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
10	Highmark highmark indemnity fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
11	Highmark highmark managed care fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
12	Highmark highmark my blue access fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
13	Highmark highmark my direct blue fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
14	Highmark highmark performance blue fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
15	Highmark highmark social mission indemnity fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
16	Highmark highmark social mission managed care fee schedule · inpatient	$127.91	$137.13	$65.20 – $193.11
17	Highmark highmark my direct blue fee schedule · outpatient	$141.27	$142.48	$65.20 – $193.11
18	Highmark highmark social mission indemnity fee schedule · outpatient	$169.94	$147.66	$65.20 – $193.11
19	Highmark highmark social mission managed care fee schedule · outpatient	$169.94	$147.66	$65.20 – $193.11
20	Highmark highmark my blue access fee schedule · outpatient	$170.72	$151.90	$65.20 – $197.78
21	Highmark highmark blue high performance fee schedule · outpatient	$170.72	$158.99	$65.20 – $240.32
22	Highmark highmark performance blue fee schedule · outpatient	$170.72	$158.99	$65.20 – $240.32
23	Highmark highmark wholecare medicaid hc fee schedule · outpatient	$184.92	$160.08	$110.40 – $184.92
24	Highmark highmark connect blue fee schedule · outpatient	$170.72	$161.32	$65.20 – $254.30
25	Cigna cigna commercial fee schedule · inpatient	$157.76	$161.79	$84.93 – $242.69

Page 1 of 3 · 56 rates

Last updated: Apr 14, 2026

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