Facial bone X-ray at St.davids Surgical Hospital

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

XR FACIAL BONES < 3 V

Austin, TX

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Pricing by billing methodology

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How this price compares nationally

St.davids Surgical Hospital’s median price of $152 is 33% above the median hospital's median price ($114), higher than 64% of the 2,501 hospitals reporting CPT 70140. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70140 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 10 payers, 38 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
5	Humana mgmcd fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	Aetna Better Health mcd fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
10	Cigna newbusinessnetwork fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
11	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
12	Cigna hmo fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
13	Cigna openaccess fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
14	Cigna openaccessplus fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
16	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
17	Humana hmo percent of total billed charges · outpatientfrom % of charges	$132	$132	—	—	—	$132 – $132
18	Humana ppo percent of total billed charges · outpatientfrom % of charges	$132	$132	—	—	—	$132 – $132
19	Cigna ppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
20	Aetna narrownetwork fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
21	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
22	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
23	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
24	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
25	UnitedHealthcare allpayerappendix fee schedule · outpatient	$182	$182	—	—	—	$182 – $182

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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