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
$8
Average
$5.1k
Median
$3.5k
High
$32.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
781 hospitals; the 90th percentile is 21.3× 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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982 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $18.7k | $20.5k | $4.1k | 20% | 9–90 | $17.7k – $31.6k |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $3.0k | $3.0k | — | — | 4–40 | $3.0k – $3.0k |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $15.0k | $19.0k | $7.3k | 39% | 4–40 | $14.2k – $31.6k |
| 4 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 2 | $2.9k | $2.9k | $727 | 25% | 2–20 | $2.2k – $3.6k |
| 5 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · outpatient | 2 | $1.1k | $1.1k | $22 | 2% | 1–10 | $1.1k – $1.1k |
| 6 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.7k | $17.7k | — | — | 1–10 | $17.7k – $17.7k |
| 7 | Mayo Clinic Rochester, MN facility · case rate · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 8 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $1.9k | $1.7k | $1.1k | 65% | 1–10 | $207 – $2.8k |
| 9 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $1.9k | $1.7k | $1.1k | 65% | 1–10 | $207 – $2.8k |
| 10 | St Joseph Mercy Oakland Pontiac, MI facility · other · outpatient | 2 | $4.5k | $4.5k | $1.2k | 27% | 1–10 | $3.3k – $5.8k |
| 11 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $112 | $125 | $26 | 20% | 1–10 | $110 – $176 |
| 12 | The University of Texas Medical Branch Webster, TX other · both | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 13 | The University of Texas Medical Branch Webster, TX other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 14 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $485 | $429 | $114 | 27% | — | $232 – $515 |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $432 | $403 | $112 | 28% | — | $231 – $515 |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 6 | $316 | $343 | $130 | 38% | — | $192 – $515 |
| 18 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 4 | $2.7k | $2.8k | $498 | 18% | — | $2.3k – $3.5k |
| 19 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 4 | $2.7k | $2.8k | $498 | 18% | — | $2.3k – $3.5k |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $553 | $716 | $264 | 37% | — | $461 – $1.0k |
| 21 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 22 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 18 | $352 | $368 | $149 | 41% | — | $194 – $719 |
| 23 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Payers reporting CPT 41874 · Snapshot 20261112T181611Z-3fa9fb76