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
Urbana, IL
See all hospitals reporting CPT 70487 →Price type
The Carle Foundation Hospital’s median price of $523 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: 9 payers, 29 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $160.63 | $160.63 | $160.63 – $160.63 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $160.63 | $160.63 | $160.63 – $160.63 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $165.45 | $165.45 | $165.45 – $165.45 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $165.45 | $165.45 | $165.45 – $165.45 |
| 5 | Aetna medicare advantage hmo case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 7 | Humana medicare advantage case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 8 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 9 | UnitedHealthcare medicare advantage case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 10 | UnitedHealthcare va ccn/optum case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $187.96 | $187.96 | $187.96 – $187.96 |
| 12 | Aetna medicare advantage ppo case rate · outpatient | $191.72 | $191.72 | $191.72 – $191.72 |
| 13 | Aetna Better Health managed medicaid other · outpatient | $315.53 | $315.53 | $315.53 – $315.53 |
| 14 | Blue Cross Blue Shield managed medicaid other · outpatient | $381.74 | $381.74 | $381.74 – $381.74 |
| 15 | Cigna ppo case rate · outpatient | $610.88 | $610.88 | $610.88 – $610.88 |
| 16 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 17 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 18 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 19 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $2,087 | $2,087 | $2,087 – $2,087 |
| 20 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $2,087 | $2,087 | $2,087 – $2,087 |
| 21 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2,691 | $2,691 | $2,691 – $2,691 |
| 22 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 23 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2,826 | $2,826 | $2,826 – $2,826 |
| 24 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $2,873 | $2,873 | $2,873 – $2,873 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3,391 | $3,391 | $3,391 – $3,391 |
Last updated: Apr 15, 2026
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