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 Views
Ozark, MO
See all hospitals reporting CPT 70100 →Price type
Mercy Hospital Springfield’s median price of $129 is 11% above the median hospital's median price ($117), higher than 57% 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: 16 payers, 39 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 14 | Aetna hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 15 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Cigna hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Humana hb sprg humana medicare 100% facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Medica hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 19 | Medicare hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Tricare hb sprg tricare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 21 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 22 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 23 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 25 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
Last updated: Jun 4, 2026
See X-ray of jaw, fewer than four views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.