X-ray of jaw, four or more views at Sanford Wheaton

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RAD EXAM MANDIBLE COMPL MIN 4 VWS

Wheaton, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Sanford Wheaton’s median price of $513 is 244% above the median hospital's median price ($149), higher than 93% 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 Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Ucare medicaid managed care case rate · outpatient	$112	$112	—	—	—	$112 – $112
2	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
3	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
4	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$326	$326	—	—	—	$326 – $326
5	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
6	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
7	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
8	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
9	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$475	$475	—	—	—	$475 – $475
10	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$475	$475	—	—	—	$475 – $475
11	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$503	$503	—	—	—	$503 – $503
12	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$503	$503	—	—	—	$503 – $503
13	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
15	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$529	$529	—	—	—	$529 – $529
16	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$529	$529	—	—	—	$529 – $529
17	Medica choice percent of total billed charges · outpatientfrom % of charges	$529	$529	—	—	—	$529 – $529
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$532	$532	—	—	—	$532 – $532
19	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$542	$542	—	—	—	$542 – $542
20	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$542	$542	—	—	—	$542 – $542
21	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$557	$557	—	—	—	$557 – $557
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
23	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
24	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
25	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$559	$559	—	—	—	$559 – $559

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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