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

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

Williamsport, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Williamsport’s median price of $323 is 177% above the median hospital's median price ($117), higher than 89% 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 Williamsport

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 pa medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
3	Highmark medicaid facility · fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	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	$85	$85	—	—	—	$85 – $85
5	Aetna medicare facility · fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
6	Amerihealth Caritas medicare facility · fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
8	Highmark medicare facility · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
9	MultiPlan worker's compensation facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
10	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
11	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
12	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
13	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
14	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
16	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$314	$314	—	—	—	$314 – $314
17	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
18	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
19	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$413	$413	—	—	—	$413 – $413
20	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$413	$413	—	—	—	$413 – $413
21	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
22	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$428	$428	—	—	—	$428 – $428
24	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$428	$428	—	—	—	$428 – $428
25	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$429	$429	—	—	—	$429 – $429

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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