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 WITH CONTRAST
Watertown, NY
See all hospitals reporting CPT 70487 →Price type
Samaritan Medical Center’s median price of $219 is 49% below the median hospital's median price ($427), higher than 22% 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: 4 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 | WellCare medicare advantage professional · fee schedule · both | $94.39 | $96.77 | $50.76 – $145.15 |
| 2 | Excellus managed medicaid facility · other · inpatient | $122.68 | $122.68 | $122.68 – $122.68 |
| 3 | Excellus managed medicaid facility · other · outpatient | $122.68 | $122.68 | $122.68 – $122.68 |
| 4 | WellCare medicare advantage facility · other · inpatient | $210.66 | $210.66 | $210.66 – $210.66 |
| 5 | Aetna medicare advantage facility · other · inpatient | $216.17 | $216.17 | $216.17 – $216.17 |
| 6 | Excellus medicare advantage facility · case rate · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 7 | WellCare medicare advantage facility · case rate · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 8 | Aetna medicare advantage facility · case rate · outpatient | $223.33 | $223.33 | $223.33 – $223.33 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $225.52 | $225.52 | $225.52 – $225.52 |
| 10 | Excellus medicare advantage facility · other · inpatient | $225.62 | $225.62 | $225.62 – $225.62 |
| 11 | Excellus commercial professional · fee schedule · both | $227.73 | $227.73 | $227.73 – $227.73 |
| 12 | UnitedHealthcare medicare advantage facility · other · inpatient | $232.39 | $232.39 | $232.39 – $232.39 |
| 13 | Excellus commercial facility · other · inpatient | $827.96 | $827.96 | $827.96 – $827.96 |
| 14 | Excellus commercial facility · case rate · outpatient | $1,005 | $1,005 | $1,005 – $1,005 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,119 | $1,119 | $1,119 – $1,119 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,119 | $1,119 | $1,119 – $1,119 |
Last updated: Feb 2, 2026
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