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-dye
Philadelphia, PA
See all hospitals reporting CPT 70487 →Price type
Thomas Jefferson University Hospital, Inc.’s median price of $170 is 60% below the median hospital's median price ($427), higher than 8% 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: 12 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Optum jcc001_jcc002 va ccn facility · fee schedule · outpatient | $162.18 | $162.18 | $162.18 – $162.18 |
| 2 | Tricare jcc001_jcc002 military facility · fee schedule · outpatient | $162.18 | $162.18 | $162.18 – $162.18 |
| 3 | Humana jcc001_jcc002 medicare facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 4 | UnitedHealthcare medicare aarp facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 5 | UnitedHealthcare medicare isnp facility · fee schedule · outpatient | $165.43 | $165.43 | $165.43 – $165.43 |
| 6 | Cigna Healthspring jcc001_jcc002 medicare facility · fee schedule · outpatient | $168.67 | $168.67 | $168.67 – $168.67 |
| 7 | Devoted jcc001_jcc002 medicare facility · fee schedule · outpatient | $170.29 | $170.29 | $170.29 – $170.29 |
| 8 | Aetna jcc001_jcc002 medicare facility · fee schedule · outpatient | $171.91 | $171.91 | $171.91 – $171.91 |
| 9 | UnitedHealthcare medicare group retiree facility · fee schedule · outpatient | $175.16 | $175.16 | $175.16 – $175.16 |
| 10 | Aetna Better Health jcc001_jcc002 chip facility · fee schedule · outpatient | $151.62 | $185.74 | $151.62 – $253.97 |
| 11 | Highmark jcc001_jcc002 medicare facility · fee schedule · outpatient | $189.75 | $189.75 | $189.75 – $189.75 |
| 12 | Ambetter jcc001_jcc002 comm exch facility · fee schedule · outpatient | $235.17 | $235.17 | $235.17 – $235.17 |
| 13 | Cigna jcc001_jcc002 commercial facility · fee schedule · outpatient | $307.73 | $307.73 | $307.73 – $307.73 |
| 14 | Cigna jcc001_jcc002 ppo facility · fee schedule · outpatient | $369.72 | $369.72 | $369.72 – $369.72 |
| 15 | Aetna commercial pebtf facility · fee schedule · outpatient | $689.40 | $689.40 | $689.40 – $689.40 |
| 16 | Aetna commercial facility · fee schedule · outpatient | $811.80 | $811.80 | $811.80 – $811.80 |
| 17 | Blue Cross Blue Shield commercial hmo facility · fee schedule · outpatient | $1,347 | $1,347 | $1,347 – $1,347 |
| 18 | Blue Cross Blue Shield jcc001_ jcc002 indemnity facility · fee schedule · outpatient | $1,347 | $1,347 | $1,347 – $1,347 |
| 19 | Blue Cross Blue Shield jcc001_jcc002 ppo facility · fee schedule · outpatient | $1,347 | $1,347 | $1,347 – $1,347 |
Last updated: Mar 18, 2026
See CT scan of face and jaw with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.