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
Revision Peri-Implant Capsule Breast
Low
$1
Average
$1.4k
Median
$1.0k
High
$5.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 11.6× 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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49 hospital rates
iThe hospitals that file a Medicaid 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 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $2.2k | $2.2k | $105 | 5% | — | $2.1k – $2.3k |
| 2 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $1.8k | $1.8k | $1.2k | 64% | — | $658 – $3.0k |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $541 | $541 | — | — | — | $541 – $541 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $312 | $312 | $62 | 20% | — | $250 – $375 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $312 | $312 | $62 | 20% | — | $250 – $375 |
| 6 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 9 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $2.4k | $2.5k | $634 | 25% | — | $1.8k – $3.4k |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 16 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Maple Grove Hospital Corporation Grove, MN facility · other · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 18 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 19 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 20 | NYU Langone New York, NY case rate · both | 15 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 21 | NYU Langone Mineola, NY case rate · both | 15 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | NYU Langone Brooklyn, NY case rate · both | 15 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 23 | NYU Langone New York, NY case rate · both | 15 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 25 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Payers reporting CPT 19370 · Snapshot 20261111T120946Z-9134e7f7