CDT D1516
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.
Original text from hospital filings
Initial Space Maintainer - Fixed - Bilateral, Maxillary
Prices here combine facility and professional fees. See them separately →Experimental
Low
$84
Average
$945
Median
$700
High
$2.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 104 hospitals; the 90th percentile is 16.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Seattle Children's Hospital Seattle, WA | $452 | $409 | $85 | 21% | 2–20 | $254 – $516 |
| 2 | USA Health University Hospital Mobile, AL | $652 | $669 | $28 | 4% | — | $652 – $718 |
| 3 | Fairview Health Services Edina, MN | $828 | $1.2k | $1.0k | 85% | — | $158 – $3.8k |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Deaconess Hospital, Inc Newburgh, IN | $865 | $1.3k | $549 | 42% | — | $821 – $2.8k |
| 6 | Sanford USD Medical Center Sioux Falls, SD | $1.1k | $860 | $332 | 39% | — | $390 – $1.1k |
| 7 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $140 | $140 | $3 | 2% | — | $137 – $143 |
| 8 | Fairview Health Services Minneapolis, MN | $835 | $1.5k | $1.4k | 97% | — | $158 – $5.8k |
| 9 | Vanderbilt Bedford Hospital Shelbyville, TN | $332 | $323 | $114 | 35% | — | $0 – $553 |
| 10 | Vanderbilt University Medical Center Nashville, TN | $332 | $319 | $115 | 36% | — | $0 – $553 |
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