X-ray of jaw, four or more views at Longview Medical Center LP

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

HE-MANDIBLE 4VPLS CR

Longview, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Longview Medical Center LP’s median price of $108 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 Longview Medical Center LP

Negotiated rates from the hospital’s own file: 10 payers, 37 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	Cigna cigna all facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
2	Medicaid node tx medicaid facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
3	UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
4	UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
5	Molina node molina chip medicaid tx facility · per diem · outpatient	$46	$46	—	—	—	$46 – $46
6	Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
7	Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient	$50	$50	—	—	—	$50 – $50
8	UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
9	Molina node molina star plus medicaid tx facility · per diem · outpatient	$97	$97	—	—	—	$97 – $97
10	Humana node humana mcr adv facility · fee schedule · outpatient	$98	$98	$5	5%	—	$93 – $103
11	Humana node wellmed humana mcr adv facility · fee schedule · outpatient	$98	$98	$5	5%	—	$93 – $103
12	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$98	$98	$5	5%	—	$93 – $103
13	UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient	$98	$98	$5	5%	—	$93 – $103
14	Tricare node tricare facility · fee schedule · outpatient	$100	$100	$5	5%	—	$95 – $105
15	Aetna node aetna mcr adv facility · other · outpatient	$100	$100	$5	5%	—	$95 – $105
16	Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient	$100	$100	$5	5%	—	$95 – $105
17	Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient	$100	$100	$5	5%	—	$95 – $105
18	UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient	$102	$102	—	—	—	$102 – $102
19	Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
20	Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient	$169	$169	—	—	—	$169 – $169
21	Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient	$169	$169	—	—	—	$169 – $169
22	Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient	$181	$181	—	—	—	$181 – $181
23	UnitedHealthcare uhc exchange facility · per diem · outpatient	$190	$190	$10	5%	—	$180 – $200
24	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
25	UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230

Page 1 of 2 · 37 rates

Last updated: Apr 1, 2026

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