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
DENTAL BITEWING SINGLE IMAGE
The hospitals that file a Anthem 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.
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126 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $584.92 | $584.92 – $584.92 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $177.86 | $82.33 – $243.92 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $41.88 | $21.77 – $55.28 |
| 4 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $85.21 | $85.21 – $85.21 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $18.90 | $18.90 – $18.90 |
| 6 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $123.74 | $123.74 – $123.74 |
| 7 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $123.74 | $123.74 – $123.74 |
| 8 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $360.10 | $86.22 – $633.98 |
| 9 | Aspirus Plover Hospital Stevens Point, WI fee schedule · outpatient | 2 | $361.72 | $86.61 – $636.82 |
| 10 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $360.10 | $86.22 – $633.98 |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $135.15 | $90.10 – $180.20 |
| 12 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $360.10 | $86.22 – $633.98 |
| 13 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $361.72 | $86.61 – $636.82 |
| 14 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $360.10 | $86.22 – $633.98 |
| 15 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 3 | $190.89 | $119.93 – $263.30 |
| 16 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $88.91 | $88.91 – $88.91 |
| 17 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $88.91 | $88.91 – $88.91 |
| 18 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 2 | $360.77 | $316.18 – $405.36 |
| 19 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $15.00 | $15.00 – $15.00 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $567.58 | $567.58 – $567.58 |
| 21 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $130.29 | $82.33 – $178.24 |
| 22 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1,024 | $1,024 – $1,024 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $629.06 | $629.06 – $629.06 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 3 | $173.89 | $82.33 – $237.48 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $642.71 | $642.71 – $642.71 |
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