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 Wellmark 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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6 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $91.24 | $86.98 – $95.50 |
| 2 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $100.71 | $100.71 – $100.71 |
| 3 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $84.28 | $84.28 – $84.28 |
| 4 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $84.28 | $84.28 – $84.28 |
| 5 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $37.19 | $37.19 – $37.19 |
| 6 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $91.79 | $91.79 – $91.79 |
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