CT scan of face and jaw with contrast dye at Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare

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

HC CT MAXILLOFACIAL W/CONTRAST

Billings, MT

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How this price compares nationally

Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare’s median price of $800 is 87% above the median hospital's median price ($427), higher than 68% 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 Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare

Negotiated rates from the hospital’s own file: 4 payers, 70 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 uhc mrp php prime facility · case rate · outpatient	$181.58	$181.58	$181.58 – $181.58
2	UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient	$181.58	$181.58	$181.58 – $181.58
3	UnitedHealthcare united healthcare mrp facility · case rate · outpatient	$181.58	$181.58	$181.58 – $181.58
4	UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient	$181.58	$181.58	$181.58 – $181.58
5	Cigna cigna connect exchange facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
6	Cigna cigna hmo facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
7	Cigna cigna pos/qpos facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
8	Cigna cigna ppo facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
9	Cigna eighth dist elect ben pln facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
10	Cigna health-partners facility · fee schedule · outpatient	$330.93	$330.93	$330.93 – $330.93
11	Aetna aetna hmo/epo facility · percent of total billed charges · inpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
12	Aetna aetna hmo/epo facility · percent of total billed charges · outpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
13	Aetna aetna pos/qpos facility · percent of total billed charges · inpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
14	Aetna aetna pos/qpos facility · percent of total billed charges · outpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
15	Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
16	Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
17	Aetna aetna src facility · percent of total billed charges · inpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
18	Aetna aetna src facility · percent of total billed charges · outpatientfrom % of charges	$680.72	$680.72	$680.72 – $680.72
19	Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges	$732.25	$732.25	$732.25 – $732.25
20	Anthem bcbs mt - federal facility · percent of total billed charges · inpatientfrom % of charges	$802.81	$802.81	$802.81 – $802.81
21	Anthem bcbs mt closed plan facility · percent of total billed charges · inpatientfrom % of charges	$802.81	$802.81	$802.81 – $802.81
22	Anthem bcbs mt- yellowstone county facility · percent of total billed charges · inpatientfrom % of charges	$802.81	$802.81	$802.81 – $802.81
23	Anthem st of mt employees facility · percent of total billed charges · inpatientfrom % of charges	$802.81	$802.81	$802.81 – $802.81
24	Cigna cigna sclhs cdhp facility · percent of total billed charges · inpatientfrom % of charges	$805.19	$805.19	$805.19 – $805.19
25	Anthem bcbs mt pos facility · percent of total billed charges · inpatientfrom % of charges	$826.58	$826.58	$826.58 – $826.58

Page 1 of 3 · 70 rates

Last updated: Mar 22, 2026

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