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
Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr
Low
$1
Average
$3.1k
Median
$3.0k
High
$39.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1320 hospitals; the 90th percentile is 22.0× 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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2,113 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $39.9k | $39.9k | — | — | 3–30 | $39.9k – $39.9k |
| 2 | Brigham and Women's Hospital Boston, MA other · both | 1 | $3.8k | $3.8k | — | — | 2–20 | $3.8k – $3.8k |
| 3 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $3.3k | $3.3k | $174 | 5% | 2–20 | $3.1k – $3.5k |
| 4 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $3.1k | $2.4k | $1.4k | 58% | 2–20 | $0 – $3.3k |
| 5 | Boston Medical Center Boston, MA other · both | 2 | $6.7k | $6.7k | $2.8k | 42% | 1–10 | $3.9k – $9.5k |
| 6 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 5 | $2.4k | $3.0k | $1.5k | 50% | 1–10 | $1.0k – $5.0k |
| 7 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · outpatient | 9 | $2.2k | $2.0k | $476 | 24% | 1–10 | $732 – $2.4k |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $852 | $852 | — | — | 1–10 | $852 – $852 |
| 9 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 10 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 11 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 12 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 13 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 14 | Moberly Hospital Company LLC Moberly, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28.1k | $28.1k | — | — | 1–10 | $28.1k – $28.1k |
| 15 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $760 | $760 | — | — | 1–10 | $760 – $760 |
| 16 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 2 | $5.7k | $5.7k | $2.3k | 40% | 1–10 | $3.4k – $8.0k |
| 17 | Novant Health Thomasville Medical Center, LLC Thomasville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 18 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $3.6k | $3.6k | $188 | 5% | 1–10 | $3.4k – $3.8k |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $553 | $1.3k | $1.2k | 91% | — | $359 – $2.9k |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $161 | $147 | $20 | 13% | — | $120 – $161 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $164 | $149 | $21 | 14% | — | $119 – $164 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $161 | $147 | $20 | 14% | — | $119 – $161 |
| 24 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $3.0k | $2.4k | $1.2k | 50% | — | $129 – $3.5k |
| 25 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $3.0k | $2.4k | $1.2k | 50% | — | $129 – $3.5k |
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