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
REPAIR TOOTH SOCKET
Low
$314
Average
$3.5k
Median
$2.8k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 7.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicaid fee schedule · outpatient · +10 other terms | 20 | $126 | $729 | $886 | 121% | 2–20 | $1 – $2.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 358 | $3.3k | $3.9k | $4.4k | 114% | 1–10 | $0 – $41.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 527 | $3.2k | $3.0k | $3.9k | 132% | — | $1 – $95.3k |
| 4 | Aetna fee schedule · outpatient · +29 other terms | 462 | $3.3k | $3.6k | $2.7k | 76% | — | $1 – $22.2k |
| 5 | Humana fee schedule · outpatient · +25 other terms | 351 | $3.2k | $2.5k | $1.8k | 74% | — | $1 – $15.8k |
| 6 | Cigna case rate · outpatient · +24 other terms | 235 | $6.8k | $12.1k | $8.8k | 73% | — | $1 – $40.7k |
| 7 | Molina fee schedule · outpatient · +21 other terms | 219 | $1.2k | $1.4k | $1.9k | 137% | — | $1 – $7.7k |
| 8 | WellCare fee schedule · outpatient · +15 other terms | 171 | $3.3k | $3.2k | $1.5k | 46% | — | $208 – $7.6k |
| 9 | Oscar case rate · outpatient · +18 other terms | 137 | $4.0k | $3.1k | $1.5k | 47% | — | $1.4k – $7.5k |
| 10 | Anthem fee schedule · outpatient · +19 other terms | 127 | $2.2k | $2.5k | $4.0k | 164% | — | $220 – $24.3k |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 99 | $4.1k | $4.7k | $4.0k | 86% | — | $30 – $22.4k |
| 12 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $2.7k | $2.7k | $571 | 21% | — | $2k – $4.3k |
| 13 | Ambetter fee schedule · outpatient · +11 other terms | 73 | $5.8k | $4.5k | $2.9k | 65% | — | $260 – $10.8k |
| 14 | Aetna Better Health fee schedule · outpatient · +14 other terms | 71 | $281 | $434 | $533 | 123% | — | $184 – $3.0k |
| 15 | Devoted fee schedule · outpatient · +9 other terms | 69 | $3.3k | $3.0k | $1.0k | 34% | — | $246 – $3.7k |
| 16 | Caresource fee schedule · outpatient · +12 other terms | 54 | $2.9k | $2.2k | $1.7k | 77% | — | $1 – $5.7k |
| 17 | Optum fee schedule · outpatient · +16 other terms | 46 | $3.0k | $2.9k | $2.9k | 101% | — | $223 – $12.2k |
| 18 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $539 | 53% | — | $929 – $4.9k |
| 19 | Bcbs Tx fee schedule · outpatient · +3 other terms | 33 | $736 | $753 | $916 | 122% | — | $216 – $3.3k |
| 20 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 33 | $234 | $1.5k | $1.5k | 98% | — | $223 – $3.4k |
| 21 | Tricare fee schedule · outpatient · +13 other terms | 33 | $3.0k | $2.9k | $1.3k | 44% | — | $245 – $5.4k |
| 22 | Clover fee schedule · outpatient · +7 other terms | 32 | $3.5k | $3.5k | $209 | 6% | — | $3.0k – $3.8k |
| 23 | Amerihealth Caritas case rate · outpatient · +8 other terms | 31 | $370 | $3.5k | $2.6k | 74% | — | $350 – $6.3k |
| 24 | MultiPlan fee schedule · outpatient · +17 other terms | 29 | $3.9k | $4.9k | $871 | 18% | — | $301 – $5.2k |
| 25 | Medica case rate · outpatient · +12 other terms | 28 | $2.8k | $2.4k | $792 | 33% | — | $128 – $3.2k |
← Hospitals reporting CPT 41874 · Snapshot 20261112T181611Z-3fa9fb76