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
Victoria, TX
See all hospitals reporting CPT 70487 →Price type
Victoria of Texas LP’s median price of $296 is 31% below the median hospital's median price ($427), higher than 37% 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: 11 payers, 34 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $156.38 | $156.38 | $156.38 – $156.38 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $156.38 | $156.38 | $156.38 – $156.38 |
| 3 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $156.38 | $156.38 | $156.38 – $156.38 |
| 4 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $156.38 | $156.38 | $156.38 – $156.38 |
| 5 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $159.51 | $159.51 | $159.51 – $159.51 |
| 6 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $159.51 | $159.51 | $159.51 – $159.51 |
| 7 | Molina node molina chip medicaid tx facility · per diem · outpatient | $164.20 | $164.20 | $164.20 – $164.20 |
| 8 | Molina node molina star medicaid tx facility · per diem · outpatient | $164.20 | $164.20 | $164.20 – $164.20 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $164.20 | $164.20 | $164.20 – $164.20 |
| 10 | Tricare node tricare facility · fee schedule · outpatient | $167.39 | $167.39 | $167.39 – $167.39 |
| 11 | Humana node humana mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 12 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 13 | Tricare node usfhp tricare facility · fee schedule · outpatient | $176.20 | $176.20 | $176.20 – $176.20 |
| 14 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 15 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 16 | Aetna node aetna mcr adv facility · other · outpatient | $178.58 | $178.58 | $178.58 – $178.58 |
| 17 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $310.34 | $310.34 | $310.34 – $310.34 |
| 18 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $329.79 | $329.79 | $329.79 – $329.79 |
| 19 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $352.40 | $352.40 | $352.40 – $352.40 |
| 20 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $489.47 | $489.47 | $489.47 – $489.47 |
| 21 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $513.95 | $513.95 | $513.95 – $513.95 |
| 22 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $1,256 | $1,256 | $1,256 – $1,256 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $3,454 | $3,454 | $3,454 – $3,454 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $4,136 | $4,136 | $4,136 – $4,136 |
| 25 | Aetna aetna dow chemical group facility · other · outpatient | $4,789 | $4,789 | $4,789 – $4,789 |
Last updated: Apr 1, 2026
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