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 Kaiser 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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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $305.85 | $90.00 – $523.31 |
| 2 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $88.91 | $88.91 – $88.91 |
| 3 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $171.90 | $171.90 – $171.90 |
| 4 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $88.91 | $88.91 – $88.91 |
| 5 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 1 | $88.48 | $88.48 – $88.48 |
| 6 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $87.60 | $87.60 – $87.60 |
| 7 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · case rate · outpatient | 1 | $88.48 | $88.48 – $88.48 |
| 8 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · fee schedule · outpatient | 1 | $86.29 | $86.29 – $86.29 |
| 9 | Kadlec Regional Medical Center Kennewick, WA fee schedule · outpatient | 2 | $184.70 | $96.98 – $272.41 |
| 10 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 1 | $319.00 | $319.00 – $319.00 |
| 11 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 2 | $121.00 | $90.00 – $152.00 |
| 12 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $36.90 | $36.90 – $36.90 |
| 13 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 2 | $145.10 | $96.73 – $193.46 |
| 14 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 2 | $145.10 | $96.73 – $193.46 |
| 15 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 2 | $145.10 | $96.73 – $193.46 |
| 16 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 2 | $145.10 | $96.73 – $193.46 |
| 17 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 1 | $193.95 | $193.95 – $193.95 |
| 18 | Legacy Silverton Medical Center Silverton, OR fee schedule · outpatient | 1 | $195.45 | $195.45 – $195.45 |
| 19 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 4 | $31.55 | $16.00 – $78.18 |
| 20 | Overlake Medical Center & Clinics Bellevue, WA fee schedule · outpatient | 1 | $265.78 | $265.78 – $265.78 |
| 21 | Providence Health And Services - Washington Walla Walla, WA fee schedule · outpatient | 2 | $191.14 | $96.98 – $285.30 |
| 22 | Providence Health And Services - Washington Everett, WA fee schedule · outpatient | 2 | $123.88 | $99.10 – $148.66 |
| 23 | Providence Health And Services - Washington Centralia, WA fee schedule · outpatient | 2 | $238.78 | $100.77 – $376.79 |
| 24 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 2 | $197.74 | $96.98 – $298.49 |
| 25 | Providence Health And Services - Washington Olympia, WA fee schedule · outpatient | 2 | $209.28 | $100.09 – $318.47 |
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