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 W Contrast
Spencer, IA
See all hospitals reporting CPT 70487 →Price type
Spencer Municipal Hospital’s median price of $526 is 23% above the median hospital's median price ($427), higher than 56% 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, 22 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 case rate · inpatient | $150.76 | $150.76 | $150.76 – $150.76 |
| 2 | Aetna medicare advantage (hmo & ppo) case rate · inpatient | $167.51 | $167.51 | $167.51 – $167.51 |
| 3 | Aetna medicare advantage (hmo & ppo) case rate · outpatient | $167.51 | $167.51 | $167.51 – $167.51 |
| 4 | Humana medicare advantage (all) case rate · inpatient | $169.18 | $169.18 | $169.18 – $169.18 |
| 5 | Humana medicare advantage (all) case rate · outpatient | $169.18 | $169.18 | $169.18 – $169.18 |
| 6 | Wellmark medicare advantage case rate · inpatient | $169.18 | $169.18 | $169.18 – $169.18 |
| 7 | Wellmark medicare advantage case rate · outpatient | $169.18 | $169.18 | $169.18 – $169.18 |
| 8 | Molina medicaid case rate · inpatient | $170.31 | $170.31 | $170.31 – $170.31 |
| 9 | Molina medicaid case rate · outpatient | $170.31 | $170.31 | $170.31 – $170.31 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $217.76 | $217.76 | $217.76 – $217.76 |
| 11 | Wellmark hmo fee schedule · inpatient | $833.65 | $833.65 | $833.65 – $833.65 |
| 12 | Wellmark hmo fee schedule · outpatient | $833.65 | $833.65 | $833.65 – $833.65 |
| 13 | Wellmark ppo fee schedule · inpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 14 | Wellmark ppo fee schedule · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 15 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 16 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 17 | UnitedHealthcare all percent of total billed charges · inpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 18 | UnitedHealthcare all percent of total billed charges · outpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 19 | Aetna commercial ppo percent of total billed charges · inpatientfrom % of charges | $1,155 | $1,155 | $1,155 – $1,155 |
| 20 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $1,155 | $1,155 | $1,155 – $1,155 |
| 21 | Humana commercial percent of total billed charges · inpatientfrom % of charges | $1,155 | $1,155 | $1,155 – $1,155 |
| 22 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $1,155 | $1,155 | $1,155 – $1,155 |
Last updated: Jan 1, 2026
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