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 MATERIAL
Cleveland, OH
See all hospitals reporting CPT 70487 →Price type
The Cleveland Clinic Foundation’s median price of $323 is 24% below the median hospital's median price ($427), higher than 41% 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: 11 payers, 69 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 | Aetna all products professional · other · outpatient | $3.22 | $3.22 | $3.22 – $3.22 |
| 2 | Devoted medicare advantage professional · fee schedule · outpatient | $89.66 | $93.31 | $50.30 – $139.96 |
| 3 | Aetna medicare advantage professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 4 | Aetna medicare advantage transplant professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 5 | Anthem medicare advantage professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 6 | Humana medicare advantage hmo professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 7 | Optum medicare advantage transplant professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $91.39 | $95.09 | $51.25 – $142.64 |
| 9 | Cigna medicare advantage professional · fee schedule · outpatient | $94.13 | $97.95 | $52.79 – $146.92 |
| 10 | Anthem all products mid-level facility professional · fee schedule · outpatient | $131.25 | $135.68 | $72.27 – $203.52 |
| 11 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $131.25 | $135.68 | $72.27 – $203.52 |
| 12 | Optum managed medicaid transplant professional · fee schedule · outpatient | $135.83 | $135.83 | $135.83 – $135.83 |
| 13 | Caresource managed medicaid professional · fee schedule · outpatient | $150.12 | $150.12 | $150.12 – $150.12 |
| 14 | Molina managed medicaid professional · fee schedule · outpatient | $157.27 | $157.27 | $157.27 – $157.27 |
| 15 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $159.40 | $159.40 | $159.40 – $159.40 |
| 16 | Humana medicare advantage hmo facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 17 | Optum all products va facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 18 | Optum medicare advantage transplant facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 19 | Aetna medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 20 | Anthem medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 21 | Cigna medicare advantage lifesource facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 22 | Devoted medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 23 | Cigna medicare advantage facility · fee schedule · outpatient | $170.92 | $170.92 | $170.92 – $170.92 |
| 24 | Humana all products professional · fee schedule · outpatient | $200.69 | $200.69 | $200.69 – $200.69 |
| 25 | Aetna medicare advantage transplant facility · fee schedule · outpatient | $203.74 | $203.74 | $203.74 – $203.74 |
Last updated: Jun 16, 2026
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