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
CHG CT MAXILLOFACIAL W/CONTRAST MATERIAL
Burlington, VT
See all hospitals reporting CPT 70487 →Price type
University of Vermont Medical Center Inc’s median price of $193 is 55% below the median hospital's median price ($427), higher than 16% 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: 7 payers, 25 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $68.57 | $68.57 | $35.53 – $101.60 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $89.19 | $92.89 | $43.41 – $149.78 |
| 3 | Humana tricare professional · fee schedule · both | $95.43 | $95.43 | $42.97 – $147.89 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $99.93 | $99.93 | $50.82 – $149.04 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $100.43 | $100.43 | $51.07 – $149.78 |
| 6 | Excellus managed medicaid/essential plans professional · fee schedule · both | $151.06 | $151.06 | $42.69 – $259.42 |
| 7 | Humana tricare facility · fee schedule · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $193.42 | $193.42 | $193.42 – $193.42 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $193.42 | $193.42 | $193.42 – $193.42 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $197.27 | $205.56 | $95.00 – $332.68 |
| 11 | Excellus commercial professional · fee schedule · both | $285.99 | $285.99 | $146.78 – $425.19 |
| 12 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $364.41 | $364.41 | $183.34 – $545.47 |
| 13 | Bcbs Vt indemnity professional · fee schedule · both | $447.92 | $447.92 | $225.27 – $670.56 |
| 14 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $447.92 | $447.92 | $225.27 – $670.56 |
| 15 | Cigna commercial professional · fee schedule · both | $447.92 | $447.92 | $225.27 – $670.56 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $476.47 | $476.47 | $239.63 – $713.30 |
| 17 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $941.36 | $941.36 | $941.36 – $941.36 |
| 18 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $1,614 | $1,614 | $1,614 – $1,614 |
| 19 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2,017 | $2,017 | $2,017 – $2,017 |
| 20 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,622 | $2,622 | $2,622 – $2,622 |
| 21 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $2,663 | $2,663 | $2,663 – $2,663 |
| 22 | Cigna commercial facility · fee schedule · outpatient | $2,695 | $2,695 | $2,695 – $2,695 |
| 23 | Bcbs Vt indemnity facility · fee schedule · outpatient | $3,140 | $3,140 | $3,140 – $3,140 |
| 24 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,307 | $3,307 | $3,307 – $3,307 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,310 | $3,310 | $3,310 – $3,310 |
Last updated: Oct 12, 2026
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