CT scan of face and jaw with contrast dye at Wayne Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT MAXILLOFACIAL W CONT

Goldsboro, NC

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How this price compares nationally

Wayne Memorial Hospital’s median price of $494 is 16% above the median hospital's median price ($427), higher than 55% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70487 at Wayne Memorial Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$165.80	$165.80	$165.80 – $165.80
2	Optum vaccn facility · fee schedule · outpatient	$170.93	$170.93	$170.93 – $170.93
3	Humana medicare hmo facility · fee schedule · outpatient	$174.35	$174.35	$174.35 – $174.35
4	Humana medicare ppo facility · fee schedule · outpatient	$174.35	$174.35	$174.35 – $174.35
5	Cigna medicare advantage facility · fee schedule · outpatient	$179.48	$179.48	$179.48 – $179.48
6	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$179.48	$179.48	$179.48 – $179.48
7	Aetna medicare advantage facility · fee schedule · outpatient	$181.19	$181.19	$181.19 – $181.19
8	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$493.59	$493.59	$493.59 – $493.59
9	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$493.59	$493.59	$493.59 – $493.59
10	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$493.59	$493.59	$493.59 – $493.59
11	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$1,423	$1,423	$1,423 – $1,423
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,423	$1,423	$1,423 – $1,423
13	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,473	$1,473	$1,473 – $1,473
14	UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges	$1,477	$1,477	$1,477 – $1,477
15	Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges	$1,623	$1,623	$1,623 – $1,623
16	UnitedHealthcare individual exchange facility · per diem · outpatient	$1,643	$1,643	$1,643 – $1,643
17	Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges	$1,643	$1,643	$1,643 – $1,643
18	Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient	$1,678	$1,678	$1,678 – $1,678
19	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,723	$1,723	$1,723 – $1,723
20	UnitedHealthcare commercial facility · per diem · outpatient	$1,827	$1,827	$1,827 – $1,827

Last updated: Jun 18, 2026

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