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
PR ORTHOPANTOGRAM
Low
$9
Average
$137
Median
$114
High
$422
Each hospital's average Medica rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 8.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
204 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $154 | $127 | $37 | 29% | 59–95 | $80 – $162 |
| 2 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $15 | $15 | $5 | 32% | 12–21 | $10 – $21 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 5 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 7 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 8 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $249 | $236 | $29 | 12% | — | $180 – $262 |
| 9 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $297 | $297 | $0 | 0% | — | $296 – $297 |
| 10 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $263 | $120 | 45% | — | $94 – $356 |
| 11 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 12 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 13 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 14 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $203 | $203 | $5 | 2% | — | $198 – $208 |
| 15 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 16 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 17 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $288 | $277 | $103 | 37% | — | $146 – $386 |
| 18 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 5 | $249 | $236 | $29 | 12% | — | $180 – $262 |
| 20 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $297 | $297 | $0 | 0% | — | $296 – $297 |
| 21 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $263 | $120 | 45% | — | $94 – $356 |
| 22 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 23 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 24 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 25 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
← Payers reporting CPT 70355 · Snapshot 20261111T120946Z-9134e7f7