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
$0
Average
$1.7k
Median
$689
High
$20.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
198 hospitals; the 90th percentile is 5.6× 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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200 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Wesley Health System LLC Hattiesburg, MS facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | 61–106 | $3.2k – $3.2k |
| 2 | MUSC Medical Center Charleston, SC facility · other · outpatient | 7 | $4.0k | $4.6k | $4.5k | 97% | 46–91 | $50 – $14.8k |
| 3 | Fred Hutchinson Cancer Center Seattle, WA other · outpatient | 2 | $933 | $933 | $221 | 24% | 30 | $711 – $1.2k |
| 4 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 1 | $3.0k | $3.0k | — | — | 5–50 | $3.0k – $3.0k |
| 5 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 3 | $372 | $1.2k | $1.3k | 102% | 3–30 | $318 – $3.0k |
| 6 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $1.8k | $1.9k | $1.5k | 77% | 3–30 | $162 – $3.8k |
| 7 | Natchez Hospital Company LLC Natchez, MS facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | 3–30 | $3.3k – $3.3k |
| 8 | Riddle Memorial Hospital Media, PA facility · other · outpatient | 3 | $1.5k | $3.1k | $3.1k | 97% | 3–30 | $530 – $7.4k |
| 9 | Vicksburg Healthcare LLC Vicksburg, MS facility · other · outpatient | 1 | $2.9k | $2.9k | — | — | 3–30 | $2.9k – $2.9k |
| 10 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · other · outpatient | 3 | $756 | $1.2k | $1.0k | 87% | 3–30 | $209 – $2.7k |
| 11 | Wellstar West Georgia Medical Center Lagrange, GA facility · other · outpatient | 3 | $3.5k | $3.9k | $2.6k | 66% | 3–30 | $946 – $7.2k |
| 12 | Grant Medical Center Columbus, OH other · outpatient | 2 | $4.1k | $4.1k | $1.5k | 36% | 2–20 | $2.6k – $5.6k |
| 13 | Orlando Health, Inc. Orlando, FL other · outpatient | 2 | $1.4k | $1.4k | $19 | 1% | 2–20 | $1.3k – $1.4k |
| 14 | Paoli Hospital Paoli, PA facility · other · outpatient | 2 | $1.7k | $1.7k | $29 | 2% | 2–20 | $1.6k – $1.7k |
| 15 | Rhode Island Hospital Providence, RI facility · other · outpatient | 2 | $2.6k | $2.6k | $51 | 2% | 2–20 | $2.6k – $2.7k |
| 16 | St Josephs Hospital - Savannah Savannah, GA other · outpatient | 2 | $11.9k | $11.9k | $24 | 0% | 2–20 | $11.8k – $11.9k |
| 17 | The Bryn Mawr Hospital Bryn Mawr, PA facility · other · outpatient | 2 | $5.3k | $5.3k | $1.9k | 36% | 2–20 | $3.4k – $7.2k |
| 18 | Endeavor Health Clinical Operations Skokie, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 19 | Harborview Medical Center Seattle, WA other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 20 | Kaleida Health Buffalo, NY other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 21 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 22 | Methodist Children's Hospital Lubbock, TX other · outpatient | 1 | $20.3k | $20.3k | — | — | 1–10 | $20.3k – $20.3k |
| 23 | Metrohealth System Parma, OH facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 24 | Norwalk Hospital Norwalk, CT other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 25 | Phoebe Putney Memorial Hospital & North Campus Albany, GA percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | 1–10 | $7.9k – $7.9k |
← Payers reporting APC 5871 · Snapshot 20261111T120946Z-9134e7f7