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
XR MANDIBLE < 4 V
CONROE, TX
See all hospitals reporting CPT 70100 →Price type
Hca Houston Healthcare Conroe’s median price of $281 is 141% above the median hospital's median price ($117), higher than 86% of the 2,383 hospitals reporting CPT 70100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 45 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 | UnitedHealthcare mgmcd fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Aetna Better Health mgmcd fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Molina chip fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Molina star fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Molina starkids fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Molina starplus fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Humana mcd fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $86 – $88 |
| 9 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $86 – $88 |
| 10 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $86 – $88 |
| 11 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $86 – $88 |
| 12 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $86 – $88 |
| 13 | Cigna csn fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 14 | Cigna openaccessplus fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 15 | Cigna ppo fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 17 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 18 | Aetna qhpexchange fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 19 | Blue Cross Blue Shield bav fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 20 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 21 | UnitedHealthcare smallgroup fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 22 | Aetna nbhmo fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 23 | Aetna nbpos fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 24 | Aetna nbppo fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 25 | Aetna commhmo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
Last updated: May 14, 2026
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