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 W/CONTRAST
Houma, LA
See all hospitals reporting CPT 70487 →Price type
Southern Regional Medical Corporation’s median price of $320 is 25% below the median hospital's median price ($427), higher than 40% 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, 14 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 | Tricare all payor other · outpatient | $65.87 | $65.87 | $64.09 – $67.65 |
| 2 | Molina all payor fee schedule · outpatient | $136.13 | $136.13 | $136.13 – $136.13 |
| 3 | Aetna all payor fee schedule · outpatient | $163.45 | $163.45 | $163.45 – $163.45 |
| 4 | Optum all payor fee schedule · outpatient | $163.45 | $163.45 | $163.45 – $163.45 |
| 5 | Humana all payor other · outpatient | $226.26 | $226.26 | $226.26 – $226.26 |
| 6 | UnitedHealthcare all payor other · outpatient | $226.26 | $226.26 | $226.26 – $226.26 |
| 7 | Aetna Better Health all payor other · outpatient | $233.05 | $233.05 | $233.05 – $233.05 |
| 8 | Amerihealth Caritas all payor other · outpatient | $233.05 | $233.05 | $233.05 – $233.05 |
| 9 | UnitedHealthcare all payor fee schedule · outpatient | $285.38 | $285.38 | $163.45 – $407.31 |
| 10 | Bcbs La all payor fee schedule · outpatient | $523.33 | $483.25 | $163.45 – $548.03 |
| 11 | Cigna all payor other · outpatient | $586.00 | $586.00 | $586.00 – $586.00 |
| 12 | Aetna all payor other · outpatient | $600.00 | $600.00 | $600.00 – $600.00 |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $636.75 | $636.75 | $636.75 – $636.75 |
| 14 | First Health all payor other · outpatient | $679.20 | $679.20 | $679.20 – $679.20 |
Last updated: Apr 1, 2026
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