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
$646
Average
$1.9k
Median
$1.6k
High
$4.1k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 3.8× 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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12 hospital rates
iThe hospitals that file a Caresource 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 | Wellstar West Georgia Medical Center Lagrange, GA facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 45 | $2.0k – $2.0k |
| 2 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 1 | $1.6k | $1.6k | — | — | 36 | $1.6k – $1.6k |
| 3 | Metrohealth System Parma, OH facility · other · outpatient | 1 | $1.3k | $1.3k | — | — | 21 | $1.3k – $1.3k |
| 4 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 19 | $1.4k – $1.4k |
| 5 | Wellstar Douglas Hospital Douglasville, GA facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 11 | $1.4k – $1.4k |
| 6 | NGMC Barrow, LLC Winder, GA other · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 7 | Phoebe Putney Memorial Hospital & North Campus Albany, GA other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 8 | Phoebe Sumter Medical Center Americus, GA other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 9 | Riverside Methodist Hospital Columbus, OH other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 10 | St Josephs Hospital - Savannah Savannah, GA other · outpatient | 1 | $646 | $646 | — | — | 1–10 | $646 – $646 |
| 11 | West Chester Hospital, LLC West Chester, OH other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 12 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 2 | $873 | $873 | $236 | 27% | — | $637 – $1.1k |
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