Partial dental X-ray, fewer than full mouth at St Luke's Methodist 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

HC TEETH PARTIAL EXAM < FULL MOUTH

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $52 is 78% below the median hospital's median price ($238), higher than 18% of the 1,388 hospitals reporting CPT 70310. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70310 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 25 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	Aetna medicare advantage fee schedule · both	$29	$24	$12	51%	—	$7 – $36
2	Molina medicare advantage fee schedule · both	$29	$25	$12	51%	—	$8 – $37
3	Wellmark medicare advantage fee schedule · both	$29	$25	$12	51%	—	$8 – $37
4	Humana medicare advantage fee schedule · both	$30	$25	$13	51%	—	$8 – $38
5	UnitedHealthcare medicare advantage fee schedule · both	$30	$25	$13	51%	—	$8 – $38
6	UnitedHealthcare hmo fee schedule · both	$37	$31	$16	50%	—	$10 – $47
7	UnitedHealthcare ppo fee schedule · both	$37	$31	$16	50%	—	$10 – $47
8	Wellmark commercial fee schedule · both	$56	$46	$24	51%	—	$14 – $70
9	Wellmark hmo fee schedule · both	$56	$46	$24	51%	—	$14 – $70
10	Cigna commercial fee schedule · both	$61	$51	$26	51%	—	$16 – $77
11	Wellmark ppo fee schedule · both	$66	$55	$28	51%	—	$16 – $82
12	Aetna hmo fee schedule · both	$80	$66	$34	52%	—	$19 – $99
13	Aetna ppo fee schedule · both	$95	$78	$41	52%	—	$22 – $118
14	Medica commercial percent of total billed charges · outpatientfrom % of charges	$192	$192	$11	6%	—	$181 – $203
15	Aetna medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
16	Molina medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
17	Wellmark medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
18	Humana medicare advantage case rate · outpatient	$235	$235	—	—	—	$235 – $235
19	UnitedHealthcare medicare advantage case rate · outpatient	$235	$235	—	—	—	$235 – $235
20	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
21	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
22	Aetna hmo fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
23	Aetna ppo fee schedule · outpatient	$491	$491	—	—	—	$491 – $491
24	UnitedHealthcare hmo fee schedule · outpatient	$602	$602	—	—	—	$602 – $602
25	UnitedHealthcare ppo fee schedule · outpatient	$602	$602	—	—	—	$602 – $602

Last updated: Jan 28, 2026

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