Panoramic dental X-ray of the jaw at Glendale Adventist Medical Center

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

X-ray of lower jaws, upper jaws and teeth

Glendale, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Glendale Adventist Medical Center’s median price of $312 is 223% above the median hospital's median price ($96), higher than 95% of the 1,784 hospitals reporting CPT 70355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70355 at Glendale Adventist Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Medicaid medi-cal fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	Molina molina mcal fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Aetna aetna - all plans fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
4	Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
5	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$112	$112	—	—	—	$112 – $112
6	Blue Cross Blue Shield tricare blue shield - all plans other · outpatient	$112	$112	—	—	—	$112 – $112
7	Molina molina mcr other · outpatient	$112	$112	—	—	—	$112 – $112
8	UnitedHealthcare uhc mcr adv other · outpatient	$112	$112	—	—	—	$112 – $112
9	Blue Cross Blue Shield blue cross mcr adv other · outpatient	$116	$116	—	—	—	$116 – $116
10	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
11	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
12	Molina molina exchange - all other plans other · outpatient	$151	$151	—	—	—	$151 – $151
13	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
14	Cigna cigna all other - all other plans fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
15	Cigna cigna hmo fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
16	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$328	$328	—	—	—	$328 – $328
17	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$342	$342	—	—	—	$342 – $342
18	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
19	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$360	$360	—	—	—	$360 – $360
20	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$377	$377	—	—	—	$377 – $377
21	Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
22	Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
23	First Health first health- all plans percent of total billed charges · outpatientfrom % of charges	$516	$516	—	—	—	$516 – $516
24	Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges	$579	$579	—	—	—	$579 – $579
25	Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges	$757	$757	—	—	—	$757 – $757

Last updated: Jul 30, 2026

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