CDT D7241
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
Impact Tooth Rem Bony W/Comp
Prices here combine facility and professional fees. See them separately →Experimental
Low
$18
Average
$1.2k
Median
$941
High
$5.4k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 126 hospitals; the 90th percentile is 8.2× 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 | $481 | $496 | $53 | 11% | 1–10 | $427 – $601 |
| 2 | USA Health University Hospital Mobile, AL | $652 | $669 | $28 | 4% | — | $652 – $718 |
| 3 | Fairview Health Services Edina, MN | $1.6k | $1.6k | $1.6k | 101% | — | $148 – $7.6k |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $273 | $273 | — | — | — | $273 – $273 |
| 5 | Deaconess Hospital, Inc Newburgh, IN | $2.2k | $2.4k | $302 | 13% | — | $2.1k – $2.8k |
| 6 | Sanford USD Medical Center Sioux Falls, SD | $923 | $885 | $259 | 29% | — | $390 – $1.1k |
| 7 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $290 | $343 | $113 | 33% | — | $238 – $500 |
| 8 | Sanford Thief River Falls Medical Center Thief River Falls, MN | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Fairview Health Services Minneapolis, MN | $1.6k | $1.8k | $1.9k | 106% | — | $148 – $7.6k |
| 10 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $142 | $167 | 117% | — | $0 – $485 |
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