CT scan of face and jaw with contrast dye at Troy Community Hospital Incorporated

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/Contrast

Troy, PA

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Pricing by billing methodology

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How this price compares nationally

Troy Community Hospital Incorporated’s median price of $593 is 39% above the median hospital's median price ($427), higher than 59% 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 Troy Community Hospital Incorporated

Negotiated rates from the hospital’s own file: 6 payers, 23 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	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$186.26	$186.26	$186.26 – $186.26
2	Aetna better health facility · fee schedule · outpatient	$188.94	$188.94	$188.94 – $188.94
3	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$539.28	$539.28	$539.28 – $539.28
4	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$558.15	$558.15	$558.15 – $558.15
5	Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$593.21	$593.21	$593.21 – $593.21
6	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$593.21	$593.21	$593.21 – $593.21
7	Blue Cross Blue Shield highmark wholecare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$629.16	$629.16	$629.16 – $629.16
8	WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$629.16	$629.16	$629.16 – $629.16
9	WellCare fidelis medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,019	$1,019	$1,019 – $1,019
10	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · bothfrom % of charges	$1,498	$1,498	$1,498 – $1,498
11	Blue Cross Blue Shield highmark facility · percent of total billed charges · bothfrom % of charges	$1,686	$1,686	$1,686 – $1,686
12	Blue Cross Blue Shield highmark facility · percent of total billed charges · outpatientfrom % of charges	$1,686	$1,686	$1,686 – $1,686
13	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · bothfrom % of charges	$1,686	$1,686	$1,686 – $1,686
14	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1,686	$1,686	$1,686 – $1,686
15	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · bothfrom % of charges	$1,686	$1,686	$1,686 – $1,686
16	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,686	$1,686	$1,686 – $1,686
17	Blue Cross Blue Shield first priority facility · percent of total billed charges · bothfrom % of charges	$1,887	$1,887	$1,887 – $1,887
18	Blue Cross Blue Shield first priority facility · percent of total billed charges · outpatientfrom % of charges	$1,887	$1,887	$1,887 – $1,887
19	UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges	$2,175	$2,175	$2,175 – $2,175
20	UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges	$2,175	$2,175	$2,175 – $2,175
21	Aetna medicare advantage facility · other · outpatient	$2,996	$2,996	$2,996 – $2,996
22	Tricare medicare advantage facility · other · outpatient	$2,996	$2,996	$2,996 – $2,996
23	WellCare managed medicaid facility · other · outpatient	$2,996	$2,996	$2,996 – $2,996

Last updated: Mar 31, 2026

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