Dental cone beam CT of both jaws at Riverside Middle Peninsula Hospital, Inc

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

Cone beam ct interp both jaw

Gloucester, VA

See all hospitals reporting HCPCS D0367 →

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How this price compares nationally

Riverside Middle Peninsula Hospital, Inc’s median price of $107 is 11% below the median hospital's median price ($119), higher than 24% of the 680 hospitals reporting HCPCS D0367. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D0367 at Riverside Middle Peninsula Hospital, Inc

Negotiated rates from the hospital’s own file: 4 payers, 11 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	Humana tricare fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
2	UnitedHealthcare medicare advantage fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
3	Aetna medicare advantage fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
4	Anthem medicare advantage fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
5	Humana medicare advantage fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
6	Aetna managed medicaid fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
7	Anthem managed medicaid fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
8	UnitedHealthcare managed medicaid fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
9	Humana managed medicaid fee schedule · outpatient	$324	$324	—	—	—	$324 – $324
10	Anthem hmo products fee schedule · outpatient	$353	$353	—	—	—	$353 – $353
11	Anthem ppo products fee schedule · outpatient	$403	$403	—	—	—	$403 – $403

Last updated: Jan 2, 2026

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