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
Vicksburg, MS
See all hospitals reporting CPT 70487 →Price type
Vicksburg Healthcare LLC’s median price of $288 is 33% below the median hospital's median price ($427), higher than 35% 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, 24 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 uhc medicaid ms facility · case rate · outpatient | $135.66 | $135.66 | $135.66 – $135.66 |
| 2 | Molina molina medicaid ms facility · other · outpatient | $137.02 | $137.02 | $137.02 – $137.02 |
| 3 | Caresource caresource truecare facility · other · outpatient | $138.37 | $138.37 | $138.37 – $138.37 |
| 4 | Molina molina chip facility · other · outpatient | $146.51 | $146.51 | $146.51 – $146.51 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $164.16 | $164.16 | $164.16 – $164.16 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $164.64 | $164.64 | $164.64 – $164.64 |
| 7 | Optum node united optum va ccn facility · fee schedule · outpatient | $166.83 | $166.83 | $166.83 – $166.83 |
| 8 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $167.44 | $167.44 | $167.44 – $167.44 |
| 9 | Molina node molina mcr adv facility · fee schedule · outpatient | $167.44 | $167.44 | $167.44 – $167.44 |
| 10 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $169.08 | $169.08 | $169.08 – $169.08 |
| 11 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $170.17 | $170.17 | $170.17 – $170.17 |
| 12 | Molina molina exchange facility · fee schedule · outpatient | $296.71 | $296.71 | $296.71 – $296.71 |
| 13 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $364.44 | $364.44 | $364.44 – $364.44 |
| 14 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $364.44 | $364.44 | $364.44 – $364.44 |
| 15 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $733.21 | $733.21 | $733.21 – $733.21 |
| 16 | Aetna aetna first choice ms facility · other · outpatient | $811.00 | $811.00 | $811.00 – $811.00 |
| 17 | Humana humana health benefit plan of la medicaid facility · other · outpatient | $957.09 | $957.09 | $957.09 – $957.09 |
| 18 | UnitedHealthcare uhc la medicaid facility · percent of total billed charges · outpatientfrom % of charges | $957.09 | $957.09 | $957.09 – $957.09 |
| 19 | UnitedHealthcare uhc la medicaid chip facility · percent of total billed charges · outpatientfrom % of charges | $957.09 | $957.09 | $957.09 – $957.09 |
| 20 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $2,592 | $2,592 | $2,592 – $2,592 |
| 21 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $2,592 | $2,592 | $2,592 – $2,592 |
| 22 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $3,766 | $3,766 | $3,766 – $3,766 |
| 23 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $3,766 | $3,766 | $3,766 – $3,766 |
| 24 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $4,393 | $4,393 | $4,393 – $4,393 |
Last updated: Apr 1, 2026
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