APC 5871
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.
Generation details were not recorded for this description.
Original text from hospital filings
Dental Procedures
Low
$481
Average
$1.6k
Median
$682
High
$27.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
223 hospitals; the 90th percentile is 4.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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224 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $3.4k | $3.4k | — | — | 11 | $3.4k – $3.4k |
| 2 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 3 | $2.9k | $2.7k | $745 | 28% | 3–30 | $1.7k – $3.4k |
| 3 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 2 | $4.4k | $4.4k | $80 | 2% | 2–20 | $4.4k – $4.5k |
| 4 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 2 | $481 | $481 | $285 | 59% | 2–20 | $196 – $766 |
| 5 | Fred Hutchinson Cancer Center Seattle, WA other · outpatient | 2 | $899 | $899 | $249 | 28% | 2–20 | $649 – $1.1k |
| 6 | Orlando Health, Inc. Orlando, FL other · outpatient | 2 | $8.8k | $8.8k | $1.4k | 15% | 2–20 | $7.4k – $10.1k |
| 7 | The Bryn Mawr Hospital Bryn Mawr, PA facility · other · outpatient | 2 | $7.1k | $7.1k | $6.2k | 87% | 2–20 | $934 – $13.4k |
| 8 | Grant Medical Center Columbus, OH other · outpatient | 1 | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 9 | Harborview Medical Center Seattle, WA other · outpatient | 1 | $18.5k | $18.5k | — | — | 1–10 | $18.5k – $18.5k |
| 10 | Paoli Hospital Paoli, PA facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 11 | Providence Health And Services - Washington Anchorage, AK other · outpatient | 1 | $11.2k | $11.2k | — | — | 1–10 | $11.2k – $11.2k |
| 12 | Providence Health And Services - Washington Olympia, WA other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 13 | Providence Health System - Southern California Torrance, CA other · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 14 | Riddle Memorial Hospital Media, PA facility · other · outpatient | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 15 | Riverside Methodist Hospital Columbus, OH other · outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 16 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 17 | Wellstar Douglas Hospital Douglasville, GA facility · other · outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 18 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · other · outpatient | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 19 | Wellstar West Georgia Medical Center Lagrange, GA facility · other · outpatient | 1 | $27.1k | $27.1k | — | — | 1–10 | $27.1k – $27.1k |
| 20 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 21 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 22 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 23 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $682 | $682 | — | — | — | $682 – $682 |
| 24 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $656 | $656 | — | — | — | $656 – $656 |
| 25 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
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