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
Breaux Bridge, LA
See all hospitals reporting CPT 70487 →Price type
St Martin Hospital Inc’s median price of $521 is 22% 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: 10 payers, 13 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 all payor fee schedule · outpatient | $366.03 | $366.03 | $366.03 – $366.03 |
| 2 | Aetna all payor other · outpatient | $377.96 | $377.96 | $377.96 – $377.96 |
| 3 | Bcbs La all payor other · outpatient | $377.96 | $377.96 | $377.96 – $377.96 |
| 4 | Optum all payor other · outpatient | $377.96 | $377.96 | $377.96 – $377.96 |
| 5 | WellCare all payor other · outpatient | $377.96 | $377.96 | $377.96 – $377.96 |
| 6 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $438.31 | $438.31 | $438.31 – $438.31 |
| 7 | Humana all payor other · outpatient | $500.37 | $500.37 | $377.96 – $622.78 |
| 8 | UnitedHealthcare all payor other · outpatient | $500.37 | $500.37 | $377.96 – $622.78 |
| 9 | Bcbs La all payor fee schedule · outpatient | $543.82 | $543.82 | $521.16 – $566.48 |
| 10 | Aetna Better Health all payor other · outpatient | $622.78 | $622.78 | $622.78 – $622.78 |
| 11 | Amerihealth Caritas all payor other · outpatient | $622.78 | $622.78 | $622.78 – $622.78 |
| 12 | Cigna all payor other · outpatient | $1,460 | $1,460 | $1,460 – $1,460 |
| 13 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $1,563 | $1,563 | $1,563 – $1,563 |
Last updated: Apr 1, 2026
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