X-ray of jaw, fewer than four views at UPMC Northwest

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

MANDIBLE PARTIAL <4 VIEWS

Seneca, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Northwest’s median price of $151 is 30% above the median hospital's median price ($117), higher than 65% of the 2,383 hospitals reporting CPT 70100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70100 at UPMC Northwest

Negotiated rates from the hospital’s own file: 7 payers, 30 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	UnitedHealthcare unison kids facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	Aetna medicaid facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Highmark medicaid facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
5	Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
6	Aetna medicare facility · fee schedule · outpatient	$87	$87	$1	1%	—	$86 – $88
7	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
8	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
9	Highmark medicare facility · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
10	Amerihealth Caritas medicare facility · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
11	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
12	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
13	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
14	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
15	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
16	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
19	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
20	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$233	$233	—	—	—	$233 – $233
21	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
22	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
23	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
24	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$246	$246	—	—	—	$246 – $246

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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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.