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 Molina 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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192 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $584.92 | $584.92 – $584.92 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $92.33 | $92.33 – $92.33 |
| 3 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $64.56 | $64.56 – $64.56 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $28.38 | $11.15 – $45.61 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $107.00 | $107.00 – $107.00 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $53.41 | $53.41 – $53.41 |
| 7 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $28.51 | $28.51 – $28.51 |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $28.51 | $28.51 – $28.51 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $13.26 | $13.26 – $13.26 |
| 10 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $113.50 | $113.50 – $113.50 |
| 11 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $92.33 | $92.33 – $92.33 |
| 12 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $86.44 | $86.44 – $86.44 |
| 13 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $88.19 | $88.19 – $88.19 |
| 14 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $88.19 | $88.19 – $88.19 |
| 15 | CLAY COUNTY MEDICAL CORPORATION West Point, MS fee schedule · outpatient | 1 | $125.32 | $125.32 – $125.32 |
| 16 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $567.58 | $567.58 – $567.58 |
| 17 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1,024 | $1,024 – $1,024 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $629.06 | $629.06 – $629.06 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $642.71 | $642.71 – $642.71 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $669.68 | $669.68 – $669.68 |
| 21 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $59.14 | $59.14 – $59.14 |
| 22 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $88.19 | $88.19 – $88.19 |
| 23 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $88.19 | $88.19 – $88.19 |
| 24 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $27.05 | $27.05 – $27.05 |
| 25 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $140.21 | $140.21 – $140.21 |
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