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
Ord, NE
See all hospitals reporting CPT 70487 →Price type
Valley County Hospital’s median price of $168 is 61% below the median hospital's median price ($427), higher than 7% 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, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $91.81 | $94.31 | $49.65 – $141.46 |
| 2 | Medica medicare advantage professional · fee schedule · both | $91.81 | $94.31 | $49.65 – $141.46 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $91.81 | $94.31 | $49.65 – $141.46 |
| 4 | Humana medicare advantage professional · fee schedule · both | $93.65 | $96.19 | $50.64 – $144.29 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $94.56 | $97.13 | $51.14 – $145.70 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $96.40 | $99.02 | $52.13 – $148.53 |
| 7 | Medica individual and family business plans professional · fee schedule · both | $176.46 | $181.26 | $95.43 – $271.89 |
| 8 | Bcbs Ne commercial professional · case rate · both | $180.80 | $185.72 | $97.78 – $278.58 |
| 9 | Medica commercial plans/care system products professional · fee schedule · both | $185.84 | $190.89 | $100.50 – $286.34 |
| 10 | UnitedHealthcare managed medicaid professional · fee schedule · both | $201.23 | $201.23 | $72.94 – $329.51 |
| 11 | Molina managed medicaid/chip professional · fee schedule · both | $203.20 | $203.20 | $73.66 – $332.74 |
| 12 | Molina dual eligible plan professional · fee schedule · both | $207.15 | $207.15 | $75.09 – $339.20 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $296.55 | $304.61 | $160.37 – $456.92 |
| 14 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $538.00 | $538.00 | $538.00 – $538.00 |
| 15 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $538.00 | $538.00 | $538.00 – $538.00 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $538.00 | $538.00 | $538.00 – $538.00 |
| 17 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $548.76 | $548.76 | $548.76 – $548.76 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,291 | $1,291 | $1,291 – $1,291 |
| 19 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $1,385 | $1,385 | $1,385 – $1,385 |
| 20 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $1,412 | $1,412 | $1,412 – $1,412 |
| 21 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $1,468 | $1,468 | $1,468 – $1,468 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $2,448 | $2,448 | $2,448 – $2,448 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $2,448 | $2,448 | $2,448 – $2,448 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2,582 | $2,582 | $2,582 – $2,582 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,582 | $2,582 | $2,582 – $2,582 |
Last updated: Jun 15, 2026
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