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 70110 →Price type
Hca Houston Healthcare Conroe’s median price of $330 is 122% above the median hospital's median price ($149), higher than 81% of the 2,616 hospitals reporting CPT 70110. 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 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Aetna Better Health mgmcd fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Molina chip fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Molina star fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Molina starkids fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Molina starplus fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Humana mcd fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Cigna csn fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 9 | Cigna openaccessplus fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 10 | Cigna ppo fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 11 | Aetna qhpexchange fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 12 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 13 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 14 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $5 | 2% | — | $208 – $219 |
| 15 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $5 | 2% | — | $208 – $219 |
| 16 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $5 | 2% | — | $208 – $219 |
| 17 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $5 | 2% | — | $208 – $219 |
| 18 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $5 | 2% | — | $208 – $219 |
| 19 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 20 | UnitedHealthcare smallgroup fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 21 | Blue Cross Blue Shield bav fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 22 | Aetna nbhmo fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 23 | Aetna nbpos fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 24 | Aetna nbppo fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 25 | Aetna commhmo fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
Last updated: May 14, 2026
See X-ray of jaw, four or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.