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
PC CT MAXILLOFACIAL W/DYE
Newport, OR
See all hospitals reporting CPT 70487 →Price type
Samaritan Pacific Health Services Inc’s median price of $103 is 76% below the median hospital's median price ($427), higher than 2% 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, 41 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 | Devoted medicare advantage - midlevel - fac professional · fee schedule · outpatient | $50.27 | $50.27 | $50.27 – $50.27 |
| 2 | Devoted medicare advantage - midlevel - nonfac professional · fee schedule · outpatient | $50.27 | $50.27 | $50.27 – $50.27 |
| 3 | Humana medicare advantage - midlevel - fac professional · fee schedule · outpatient | $50.27 | $50.27 | $50.27 – $50.27 |
| 4 | Humana medicare advantage - midlevel - nonfac professional · fee schedule · outpatient | $50.27 | $50.27 | $50.27 – $50.27 |
| 5 | Regence medicare adv - midlevel lcsw professional · fee schedule · outpatient | $57.75 | $57.75 | $57.75 – $57.75 |
| 6 | Regence medicare adv - midlevel lcsw nonfac professional · fee schedule · outpatient | $57.75 | $57.75 | $57.75 – $57.75 |
| 7 | Devoted medicare advantage-fac professional · fee schedule · outpatient | $58.27 | $58.27 | $58.27 – $58.27 |
| 8 | Devoted medicare advantage-nonfac professional · fee schedule · outpatient | $58.27 | $58.27 | $58.27 – $58.27 |
| 9 | Humana medicare advantage - fac professional · fee schedule · outpatient | $59.15 | $59.15 | $59.15 – $59.15 |
| 10 | Humana medicare advantage - nonfac professional · fee schedule · outpatient | $59.15 | $59.15 | $59.15 – $59.15 |
| 11 | Regence bh - masters level counselors fac professional · fee schedule · outpatient | $61.60 | $61.60 | $61.60 – $61.60 |
| 12 | Regence bh - masters level counselors nonfac professional · fee schedule · outpatient | $61.60 | $61.60 | $61.60 – $61.60 |
| 13 | Regence midlevel dc- nd-pharm-lacu-lmt-llc fac professional · fee schedule · outpatient | $63.63 | $63.63 | $63.63 – $63.63 |
| 14 | Regence midlevel dc-nd-pharm-lacu-lmt-llc nonfac professional · fee schedule · outpatient | $63.63 | $63.63 | $63.63 – $63.63 |
| 15 | Cigna facility professional · fee schedule · outpatient | $77.82 | $77.82 | $51.88 – $103.76 |
| 16 | Cigna nonfacility professional · fee schedule · outpatient | $77.82 | $77.82 | $51.88 – $103.76 |
| 17 | Aetna fac - midlevel lcsw/lpc/rdn professional · fee schedule · outpatient | $90.63 | $90.63 | $90.63 – $90.63 |
| 18 | Aetna nonfac - midlevel lcsw/lpc/rdn professional · fee schedule · outpatient | $90.63 | $90.63 | $90.63 – $90.63 |
| 19 | Aetna fac - midlevel np-pa-cnm professional · fee schedule · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 20 | Aetna fac - optometrists - pyschologists- pt-st-ot professional · fee schedule · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 21 | Aetna nonfac - midlevel np-pa-cnm professional · fee schedule · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 22 | Aetna nonfac - optometrists - pyschologists- pt-st-ot professional · fee schedule · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 23 | Aetna fac - md-do professional · fee schedule · outpatient | $120.85 | $120.85 | $120.85 – $120.85 |
| 24 | Aetna fac - psychiatric np professional · fee schedule · outpatient | $120.85 | $120.85 | $120.85 – $120.85 |
| 25 | Aetna nonfac - md-do professional · fee schedule · outpatient | $120.85 | $120.85 | $120.85 – $120.85 |
Last updated: Jan 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.