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

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

CT MAXILLOFACIAL W/DYE

Webster Springs, WV

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How this price compares nationally

Webster Memorial Hospital Inc’s median price of $108 is 75% below the median hospital's median price ($427), higher than 2% 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 Webster Memorial Hospital Inc

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Highmark medicare advantage professional · fee schedule · both	$87.16	$92.38	$51.41 – $138.57
2	Humana medicare advantage professional · fee schedule · both	$87.16	$92.38	$51.41 – $138.57
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$87.16	$92.38	$51.41 – $138.57
4	Aetna medicare advantage professional · fee schedule · both	$95.88	$101.62	$56.55 – $152.43
5	Aetna Better Health managed medicaid professional · fee schedule · both	$105.56	$105.56	$105.56 – $105.56
6	Highmark managed medicaid professional · fee schedule · both	$105.56	$105.56	$105.56 – $105.56
7	Aetna Better Health managed medicaid facility · fee schedule · outpatient	$109.31	$109.31	$109.31 – $109.31
8	Highmark managed medicaid facility · case rate · outpatient	$109.31	$109.31	$109.31 – $109.31
9	Aetna commercial professional · fee schedule · both	$107.82	$112.73	$61.28 – $169.10
10	First Health commercial professional · fee schedule · both	$107.82	$112.73	$61.28 – $169.10
11	Cigna commercial professional · fee schedule · both	$155.25	$142.49	$69.48 – $189.99
12	Highmark commercial professional · fee schedule · both	$185.36	$188.20	$96.95 – $282.30
13	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,907,748	$3,907,748	$3,907,748 – $3,907,748
14	Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,907,748	$3,907,748	$3,907,748 – $3,907,748
15	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,907,748	$3,907,748	$3,907,748 – $3,907,748
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3,907,748	$3,907,748	$3,907,748 – $3,907,748
17	Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,305,817	$4,305,817	$4,305,817 – $4,305,817
18	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,428,781	$4,428,781	$4,428,781 – $4,428,781
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,428,781	$4,428,781	$4,428,781 – $4,428,781
20	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,428,781	$4,428,781	$4,428,781 – $4,428,781
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,428,781	$4,428,781	$4,428,781 – $4,428,781
22	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,720,559	$4,720,559	$4,720,559 – $4,720,559
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,720,559	$4,720,559	$4,720,559 – $4,720,559
24	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,720,559	$4,720,559	$4,720,559 – $4,720,559
25	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,720,559	$4,720,559	$4,720,559 – $4,720,559

Page 1 of 2 · 27 rates

Last updated: Jul 31, 2026

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