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
$5.5k
Median
$4.4k
High
$65.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1353 hospitals; the 90th percentile is 8.7× 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.
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1,985 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $12.6k | $12.6k | — | — | 69 | $12.6k – $12.6k |
| 2 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $12.6k | $12.6k | — | — | 69 | $12.6k – $12.6k |
| 3 | SOUTH MIAMI HOSPITAL Weston, FL case rate · outpatient | 2 | $1.3k | $1.3k | — | — | 6–60 | $1.3k – $1.3k |
| 4 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | 3–30 | $3.6k – $3.6k |
| 5 | St. Lukes Hospital of Kansas City City, KS case rate · outpatient | 2 | $9.9k | $10.4k | $5.7k | 55% | 3–30 | $3.7k – $17.7k |
| 6 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | $4.9k | 68% | 2–20 | $2.3k – $12.1k |
| 7 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $5.3k | $5.1k | $476 | 9% | 2–20 | $4.4k – $5.7k |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $3.6k | $3.6k | $1.2k | 34% | 2–20 | $2.4k – $4.8k |
| 9 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 10 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 41% | 2–20 | $0 – $1 |
| 11 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $3.5k | $3.6k | $2.4k | 67% | 2–20 | $680 – $6.6k |
| 12 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $9.2k | $10.6k | $6.1k | 58% | 2–20 | $3.9k – $19.9k |
| 13 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 2 | $2.4k | $2.4k | $1.7k | 70% | 1–10 | $707 – $4.1k |
| 14 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · case rate · outpatient | 1 | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 15 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · case rate · outpatient | 2 | $7.7k | $7.7k | $6.5k | 84% | 1–10 | $1.2k – $14.1k |
| 16 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $9.8k | $9.8k | — | — | 1–10 | $9.8k – $9.8k |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 18 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 19 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 20 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 21 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 22 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 23 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 24 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 25 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA case rate · outpatient | 1 | $11.3k | $8.2k | $5.3k | 65% | 1–10 | $680 – $12.5k |
← Payers reporting CPT 19370 · Snapshot 20261112T181611Z-3fa9fb76