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 MAXOFACIAL W/CONTRAST
Carlisle, PA
See all hospitals reporting CPT 70487 →Price type
UPMC Carlisle’s median price of $842 is 97% above the median hospital's median price ($427), higher than 70% 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: 8 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $104.80 | $104.80 | $104.80 – $104.80 |
| 2 | Highmark community blue medicare advantage/complete blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $168.60 | $168.60 | $168.60 – $168.60 |
| 3 | Highmark freedom blue medicare advantage facility · fee schedule · outpatient | $168.60 | $168.60 | $168.60 – $168.60 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $170.18 | $170.18 | $170.18 – $170.18 |
| 5 | Highmark medicaid facility · fee schedule · outpatient | $170.18 | $170.18 | $170.18 – $170.18 |
| 6 | Humana medicare facility · fee schedule · outpatient | $170.30 | $170.30 | $170.30 – $170.30 |
| 7 | Aetna medicare facility · fee schedule · outpatient | $177.62 | $177.62 | $177.62 – $177.62 |
| 8 | Cigna medicare facility · fee schedule · outpatient | $178.81 | $178.81 | $178.81 – $178.81 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $182.22 | $182.22 | $182.22 – $182.22 |
| 10 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $431.60 | $431.60 | $431.60 – $431.60 |
| 11 | Highmark community blue ppo facility · fee schedule · outpatient | $478.99 | $478.99 | $478.99 – $478.99 |
| 12 | Highmark chip - managed care facility · fee schedule · outpatient | $499.25 | $499.25 | $499.25 – $499.25 |
| 13 | Highmark commercial facility · fee schedule · outpatient | $532.20 | $532.20 | $532.20 – $532.20 |
| 14 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $848.09 | $848.09 | $848.09 – $848.09 |
| 15 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $886.94 | $886.94 | $886.94 – $886.94 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $957.68 | $957.68 | $957.68 – $957.68 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,010 | $1,010 | $1,010 – $1,010 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,055 | $1,055 | $1,055 – $1,055 |
| 19 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1,180 | $1,180 | $1,180 – $1,180 |
| 20 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,180 | $1,180 | $1,180 – $1,180 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,588 | $1,588 | $1,588 – $1,588 |
| 22 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1,834 | $1,834 | $1,834 – $1,834 |
| 23 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1,834 | $1,834 | $1,834 – $1,834 |
Last updated: Mar 6, 2026
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