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
$574
Average
$979
Median
$664
High
$3.6k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 2.6× 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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31 hospital rates
iThe hospitals that file a Optum 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 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $625 | $625 | — | — | — | $625 – $625 |
| 2 | East Georgia Regional Medical Center LLC Statesboro, GA facility · per diem · outpatient | 1 | $617 | $617 | — | — | — | $617 – $617 |
| 3 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $580 | $580 | — | — | — | $580 – $580 |
| 4 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 5 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $639 | $639 | — | — | — | $639 – $639 |
| 6 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
| 7 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
| 8 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 9 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 10 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · per diem · outpatient | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 11 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 12 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 15 | Naples HMA LLC Naples, FL facility · per diem · outpatient | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 16 | Naples HMA LLC Naples, FL facility · per diem · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Naples HMA LLC Naples, FL facility · per diem · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | Natchez Hospital Company LLC Natchez, MS facility · per diem · outpatient | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 19 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 20 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · per diem · outpatient | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 21 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 2 | $1.1k | $1.1k | $458 | 41% | — | $648 – $1.6k |
| 22 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 23 | River Oaks Hospital LLC Flowood, MS facility · per diem · outpatient | 1 | $584 | $584 | — | — | — | $584 – $584 |
| 24 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 25 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
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