CT scan of face and jaw with contrast dye at The New London Hospital Association, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct maxillofacial w/dye

London, NH

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How this price compares nationally

The New London Hospital Association, Inc.’s median price of $113 is 74% below the median hospital's median price ($427), higher than 2% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at The New London Hospital Association, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 36 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	Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient	$69.46	$69.46	$42.06 – $96.85
2	Anthem anthem - medicare advantage professional · fee schedule · outpatient	$76.66	$76.66	$51.72 – $101.59
3	UnitedHealthcare uhc - medicare advantage professional · fee schedule · outpatient	$76.66	$76.66	$51.72 – $101.59
4	WellCare wellcare - medicare advantage professional · fee schedule · outpatient	$78.95	$78.95	$53.27 – $104.63
5	Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient	$78.96	$78.96	$53.27 – $104.64
6	Aetna aetna medicare advantage professional · fee schedule · outpatient	$88.15	$88.15	$59.47 – $116.82
7	Ambetter ambetter commercial - exchange professional · fee schedule · outpatient	$99.65	$99.65	$67.23 – $132.06
8	UnitedHealthcare uhc - hmo/pos/ppo professional · fee schedule · outpatient	$104.95	$104.95	$70.02 – $139.87
9	Anthem anthem shop on exch professional · fee schedule · outpatient	$107.31	$107.31	$72.40 – $142.22
10	Cigna cigna hmo-pos-ppo professional · fee schedule · outpatient	$107.62	$107.62	$71.32 – $143.92
11	Anthem anthem - indemnity and federal employee program professional · fee schedule · outpatient	$161.30	$161.30	$108.91 – $213.68
12	Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient	$161.30	$161.30	$108.91 – $213.68
13	Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient	$191.12	$191.12	$91.48 – $290.76
14	UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient	$209.89	$209.89	$209.89 – $209.89
15	Aetna aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
16	Ambetter ambetter commercial - exchange facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
17	Anthem anthem - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
18	Anthem anthem indiv qhp - exchange facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
19	Anthem anthem shop on exch facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
20	UnitedHealthcare uhc - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
21	WellCare wellcare - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$840.40	$840.40	$840.40 – $840.40
22	Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$973.34	$973.34	$973.34 – $973.34
23	Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · fee schedule · outpatient	$1,042	$1,042	$1,042 – $1,042
24	Cigna cigna hmo-pos-ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,293	$1,293	$1,293 – $1,293
25	Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · percent of total billed charges · outpatientfrom % of charges	$1,316	$1,316	$1,316 – $1,316

Page 1 of 2 · 36 rates

Last updated: Jan 1, 2026

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