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
Livonia, MI
See all hospitals reporting CPT 70487 →Price type
St Mary Mercy Livonia’s median price of $829 is 94% above the median hospital's median price ($427), higher than 69% 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: 21 payers, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Molina molina medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 2 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $97.97 | $97.97 | $97.97 – $97.97 |
| 3 | Aetna aetna ppo facility · fee schedule · both | $125.29 | $125.29 | $125.29 – $125.29 |
| 4 | Anthem bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 5 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 6 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 7 | Carefirst bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 8 | Excellus bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 9 | Highmark bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 10 | Kaiser bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 11 | Premera bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 12 | Regence bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 13 | Wellmark bcbs trad / trust facility · fee schedule · both | $161.91 | $161.91 | $161.91 – $161.91 |
| 14 | Aetna aetna medicare advantage facility · other · both | $171.35 | $171.35 | $171.35 – $171.35 |
| 15 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $171.35 | $171.35 | $171.35 – $171.35 |
| 16 | Molina molina medicare advantage facility · other · both | $171.35 | $171.35 | $171.35 – $171.35 |
| 17 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $180.09 | $180.09 | $180.09 – $180.09 |
| 18 | Molina molina hmo marketplace facility · other · both | $227.30 | $227.30 | $227.30 – $227.30 |
| 19 | Caresource hap hmo facility · fee schedule · both | $545.99 | $545.99 | $545.99 – $545.99 |
| 20 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $1,290 | $1,290 | $1,290 – $1,290 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1,839 | $1,839 | $1,839 – $1,839 |
| 22 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,866 | $1,866 | $1,866 – $1,866 |
| 23 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,866 | $1,866 | $1,866 – $1,866 |
| 24 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,866 | $1,866 | $1,866 – $1,866 |
| 25 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,880 | $1,880 | $1,880 – $1,880 |
Last updated: Mar 31, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.