X-ray of jaw, four or more views at Bluffton Health System LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

XR Mandible Complete Minimum 4 V DR

Bluffton, IN

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Pricing by billing methodology

Price type

How this price compares nationally

Bluffton Health System LLC’s median price of $109 is 27% below the median hospital's median price ($149), higher than 26% of the 2,616 hospitals reporting CPT 70110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70110 at Bluffton Health System LLC

Negotiated rates from the hospital’s own file: 11 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Anthem anthem in medicaid facility · other · outpatient	$75	$75	—	—	—	$75 – $75
2	Caresource caresource hhw in medicaid facility · other · outpatient	$75	$75	—	—	—	$75 – $75
3	Caresource caresource in hip facility · other · outpatient	$75	$75	—	—	—	$75 – $75
4	Humana humana pathways in medicaid facility · other · outpatient	$75	$75	—	—	—	$75 – $75
5	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$75	$75	—	—	—	$75 – $75
6	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$75	$75	—	—	—	$75 – $75
7	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
8	Tricare node tricare facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
9	Aetna node aetna mcr adv facility · other · outpatient	$109	$109	—	—	—	$109 – $109
10	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
11	Anthem anthem in hip facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
12	Humana node humana choicecare mcr adv facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
13	Optum node united optum va ccn facility · per diem · outpatient	$111	$111	—	—	—	$111 – $111
14	Caresource node caresource mcr adv facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
15	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
16	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$20	$131	$164	125%	—	$10 – $364
17	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$23	$147	$183	125%	—	$12 – $406
18	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$23	$150	$188	125%	—	$12 – $415
19	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$23	$150	$188	125%	—	$12 – $415
20	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$23	$150	$188	125%	—	$12 – $415
21	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$23	$150	$188	125%	—	$12 – $415
22	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
23	Anthem anthem in work comp facility · other · outpatient	$177	$177	—	—	—	$177 – $177
24	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$29	$185	$231	125%	—	$15 – $512
25	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$29	$185	$231	125%	—	$15 – $512

Page 1 of 2 · 34 rates

Last updated: Apr 1, 2026

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