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
Dover, OH
See all hospitals reporting CPT 70487 →Price type
The Union Hospital Association’s median price of $268 is 37% below the median hospital's median price ($427), higher than 32% 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, 41 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 | $1.65 | $1.65 | $1.65 – $1.65 |
| 2 | Aetna medicare advantage professional · fee schedule · outpatient | $51.25 | $51.25 | $51.25 – $51.25 |
| 3 | Anthem medicare advantage professional · fee schedule · outpatient | $51.25 | $51.25 | $51.25 – $51.25 |
| 4 | Cigna medicare advantage professional · fee schedule · outpatient | $51.25 | $51.25 | $51.25 – $51.25 |
| 5 | Humana medicare advantage hmo professional · fee schedule · outpatient | $51.25 | $51.25 | $51.25 – $51.25 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $51.25 | $51.25 | $51.25 – $51.25 |
| 7 | Anthem all products mid-level facility professional · fee schedule · outpatient | $72.27 | $72.27 | $72.27 – $72.27 |
| 8 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $72.27 | $72.27 | $72.27 – $72.27 |
| 9 | UnitedHealthcare all products - mid-level professional · fee schedule · outpatient | $91.31 | $91.31 | $91.31 – $91.31 |
| 10 | UnitedHealthcare all products professional · fee schedule · outpatient | $101.46 | $101.46 | $101.46 – $101.46 |
| 11 | UnitedHealthcare hmo & ppo professional · fee schedule · outpatient | $101.46 | $101.46 | $101.46 – $101.46 |
| 12 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $126.29 | $126.29 | $126.29 – $126.29 |
| 13 | Anthem medicare advantage facility · fee schedule · outpatient | $164.49 | $164.49 | $164.49 – $164.49 |
| 14 | Humana medicare advantage hmo facility · fee schedule · outpatient | $164.49 | $164.49 | $164.49 – $164.49 |
| 15 | Optum all products va facility · fee schedule · outpatient | $164.49 | $164.49 | $164.49 – $164.49 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $164.49 | $164.49 | $164.49 – $164.49 |
| 17 | Aetna medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 18 | Devoted medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 19 | Cigna medicare advantage facility · fee schedule · outpatient | $170.92 | $170.92 | $170.92 – $170.92 |
| 20 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $347.28 | $347.28 | $347.28 – $347.28 |
| 21 | Aetna all products first health professional · percent of total billed charges · outpatientfrom % of charges | $372.75 | $372.75 | $372.75 – $372.75 |
| 22 | Aetna asa professional · percent of total billed charges · outpatientfrom % of charges | $397.60 | $397.60 | $397.60 – $397.60 |
| 23 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $443.19 | $443.19 | $443.19 – $443.19 |
| 24 | Anthem managed medicaid facility · case rate · outpatient | $443.76 | $443.76 | $443.76 – $443.76 |
| 25 | Molina managed medicaid facility · case rate · outpatient | $443.76 | $443.76 | $443.76 – $443.76 |
Last updated: Jun 15, 2026
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