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
HC XR MANDIBLE < 4 VW
Lancaster, PA
See all hospitals reporting CPT 70100 →Price type
Lancaster General Health’s median price of $161 is 38% above the median hospital's median price ($117), higher than 68% 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: 13 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 | Medicaid medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Cigna cigna facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Cigna cigna new business facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 9 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 10 | Aetna aetna medicare advantage facility · other · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 12 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 13 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 14 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 15 | Devoted devoted health medicare advantage facility · other · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 16 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 17 | Highmark highmark chip facility · other · outpatient | $161 | $161 | $5 | 3% | — | $156 – $166 |
| 18 | Oscar oscar health plan facility · other · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 19 | Highmark highmark aca facility · other · outpatient | $193 | $193 | $6 | 3% | — | $187 – $200 |
| 20 | Highmark highmark commercial preferred facility · other · outpatient | $222 | $222 | $7 | 3% | — | $215 – $229 |
| 21 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $225 | $225 | $7 | 3% | — | $217 – $232 |
| 22 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 23 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $251 | $251 | $8 | 3% | — | $242 – $259 |
| 24 | Highmark highmark commercial facility · other · outpatient | $276 | $276 | $9 | 3% | — | $267 – $286 |
| 25 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $282 | $282 | $9 | 3% | — | $273 – $292 |
Last updated: Mar 31, 2026
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