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
HC CT MAXILLOFACIAL AREA W CONTRAST
Jacksonville, FL
See all hospitals reporting CPT 70487 →Price type
Southern Baptist Hospital of Florida, INC’s median price of $626 is 46% above the median hospital's median price ($427), higher than 61% 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: 12 payers, 35 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 medicare advantage facility · fee schedule · outpatient | $179.80 | $179.80 | $179.80 – $179.80 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $181.58 | $181.58 | $181.58 – $181.58 |
| 3 | Amerihealth Caritas managed medicaid facility · case rate · outpatient | $227.59 | $227.59 | $227.59 – $227.59 |
| 4 | Humana managed medicaid facility · case rate · outpatient | $227.59 | $227.59 | $227.59 – $227.59 |
| 5 | Molina managed medicaid facility · case rate · outpatient | $246.21 | $246.21 | $246.21 – $246.21 |
| 6 | Aetna Better Health healthy kids facility · case rate · outpatient | $248.28 | $248.28 | $248.28 – $248.28 |
| 7 | Aetna Better Health managed medicaid facility · case rate · outpatient | $248.28 | $248.28 | $248.28 – $248.28 |
| 8 | Ambetter marketplace - all products facility · fee schedule · outpatient | $427.25 | $427.25 | $427.25 – $427.25 |
| 9 | Blue Cross Blue Shield blue select facility · case rate · outpatient | $453.00 | $453.00 | $453.00 – $453.00 |
| 10 | Blue Cross Blue Shield my blue facility · case rate · outpatient | $453.00 | $453.00 | $453.00 – $453.00 |
| 11 | Aetna whole health facility · other · outpatient | $511.00 | $511.00 | $511.00 – $511.00 |
| 12 | Aetna whole health -child facility · other · outpatient | $511.00 | $511.00 | $511.00 – $511.00 |
| 13 | Blue Cross Blue Shield hmo facility · case rate · outpatient | $567.00 | $567.00 | $567.00 – $567.00 |
| 14 | Blue Cross Blue Shield indemnity facility · case rate · outpatient | $567.00 | $567.00 | $567.00 – $567.00 |
| 15 | Blue Cross Blue Shield network blue facility · case rate · outpatient | $567.00 | $567.00 | $567.00 – $567.00 |
| 16 | Blue Cross Blue Shield ppo facility · case rate · outpatient | $567.00 | $567.00 | $567.00 – $567.00 |
| 17 | Aetna gatekeeper facility · other · outpatient | $669.00 | $669.00 | $669.00 – $669.00 |
| 18 | Aetna non-gatekeeper facility · other · outpatient | $669.00 | $669.00 | $669.00 – $669.00 |
| 19 | Aetna qhp facility · other · outpatient | $669.00 | $669.00 | $669.00 – $669.00 |
| 20 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $720.65 | $720.65 | $720.65 – $720.65 |
| 21 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,044 | $1,044 | $1,044 – $1,044 |
| 22 | Cigna gatekeeper new business facility · percent of total billed charges · outpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 23 | Aetna src and nap facility · percent of total billed charges · outpatientfrom % of charges | $1,267 | $1,267 | $1,267 – $1,267 |
| 24 | Cigna gatekeeper non-new business facility · percent of total billed charges · outpatientfrom % of charges | $1,397 | $1,397 | $1,397 – $1,397 |
| 25 | UnitedHealthcare all products facility · other · outpatient | $1,458 | $1,458 | $1,458 – $1,458 |
Last updated: Feb 6, 2026
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