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
Philadelphia, PA
See all hospitals reporting CPT 70487 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $1.2k is 180% above the median hospital's median price ($427), higher than 79% 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: 16 payers, 40 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 | Kaiser kaiser transplant medicaid facility · fee schedule · outpatient | $84.00 | $84.00 | $84.00 – $84.00 |
| 2 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $157.60 | $157.60 | $157.60 – $157.60 |
| 3 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $162.24 | $162.24 | $162.24 – $162.24 |
| 4 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 5 | Kaiser kaiser transplant medicare facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 7 | Optum optum urn-transplant managed medicare facility · other · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 8 | Tricare tricare facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 9 | Highmark highmark medicare advantage facility · other · outpatient | $188.05 | $188.05 | $188.05 – $188.05 |
| 10 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $189.89 | $189.89 | $189.89 – $189.89 |
| 11 | Humana humana medicare facility · other · outpatient | $189.89 | $189.89 | $189.89 – $189.89 |
| 12 | Devoted devoted health medicare advantage facility · other · outpatient | $193.58 | $193.58 | $193.58 – $193.58 |
| 13 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $195.42 | $195.42 | $195.42 – $195.42 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $195.42 | $195.42 | $195.42 – $195.42 |
| 15 | Clover clover health plan facility · other · outpatient | $199.11 | $199.11 | $199.11 – $199.11 |
| 16 | Cigna cigna new business facility · fee schedule · outpatient | $282.53 | $282.53 | $282.53 – $282.53 |
| 17 | Cigna cigna facility · fee schedule · outpatient | $291.00 | $291.00 | $291.00 – $291.00 |
| 18 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $303.27 | $303.27 | $303.27 – $303.27 |
| 19 | Oscar oscar health plan facility · other · outpatient | $313.41 | $313.41 | $313.41 – $313.41 |
| 20 | Highmark highmark facility · other · outpatient | $387.69 | $387.69 | $387.69 – $387.69 |
| 21 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $599.09 | $599.09 | $599.09 – $599.09 |
| 22 | Aetna aetna commercial facility · fee schedule · outpatient | $711.00 | $711.00 | $711.00 – $711.00 |
| 23 | Optum optum urn-cancer resource services facility · other · outpatient | $921.80 | $921.80 | $921.80 – $921.80 |
| 24 | Optum optum urn-transplant commercial facility · other · outpatient | $921.80 | $921.80 | $921.80 – $921.80 |
| 25 | UnitedHealthcare unitedhealthcare new business facility · other · outpatient | $977.00 | $977.00 | $977.00 – $977.00 |
Last updated: Feb 10, 2026
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