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 MAXIFAC W/CONTRAST
PFLUGERVILLE, TX
See all hospitals reporting CPT 70487 →Price type
St. David's Round Rock Medical Center’s median price of $1.9k is 354% above the median hospital's median price ($427), higher than 89% 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: 9 payers, 38 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 mgmcd fee schedule · outpatient | $160.86 | $160.86 | $160.86 – $160.86 |
| 2 | Blue Cross Blue Shield chip fee schedule · outpatient | $164.20 | $164.20 | $164.20 – $164.20 |
| 3 | Blue Cross Blue Shield mcd fee schedule · outpatient | $164.20 | $164.20 | $164.20 – $164.20 |
| 4 | Molina chip fee schedule · outpatient | $172.02 | $172.02 | $172.02 – $172.02 |
| 5 | Molina mcdstar fee schedule · outpatient | $172.02 | $172.02 | $172.02 – $172.02 |
| 6 | Molina star+plus fee schedule · outpatient | $172.02 | $172.02 | $172.02 – $172.02 |
| 7 | Molina starkids fee schedule · outpatient | $172.02 | $172.02 | $172.02 – $172.02 |
| 8 | Humana mgmcd fee schedule · outpatient | $195.47 | $195.47 | $195.47 – $195.47 |
| 9 | Aetna Better Health mcd fee schedule · outpatient | $197.04 | $197.04 | $197.04 – $197.04 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $267.35 | $267.35 | $262.15 – $272.55 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $267.35 | $267.35 | $262.15 – $272.55 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $267.35 | $267.35 | $262.15 – $272.55 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $267.35 | $267.35 | $262.15 – $272.55 |
| 14 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $273.18 | $273.18 | $273.18 – $273.18 |
| 15 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $401.74 | $401.74 | $401.74 – $401.74 |
| 16 | UnitedHealthcare smallgroup fee schedule · outpatient | $401.74 | $401.74 | $401.74 – $401.74 |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $415.46 | $415.46 | $415.46 – $415.46 |
| 18 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $506.57 | $506.57 | $506.57 – $506.57 |
| 19 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $701.55 | $701.55 | $701.55 – $701.55 |
| 20 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $701.55 | $701.55 | $701.55 – $701.55 |
| 21 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $776.26 | $776.26 | $776.26 – $776.26 |
| 22 | Blue Cross Blue Shield ppo fee schedule · outpatient | $850.97 | $850.97 | $850.97 – $850.97 |
| 23 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $908.99 | $908.99 | $891.31 – $926.67 |
| 24 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $908.99 | $908.99 | $891.31 – $926.67 |
| 25 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $908.99 | $908.99 | $891.31 – $926.67 |
Last updated: Sep 1, 2026
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