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.
Generation details were not recorded for this description.
Original text from hospital filings
PR UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES
Low
$8
Average
$1.8k
Median
$788
High
$23.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1458 hospitals; the 90th percentile is 18.4× 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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2,273 hospital rates
iThe hospitals that file a Aetna 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 | 6 | $8.5k | $12.1k | $11.2k | 92% | 285 | $1.2k – $33.3k |
| 2 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $3.9k | $3.2k | 83% | 53 | $986 – $9.4k |
| 3 | Monmouth Medical Center Southern Campus Lakewood, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 38 | $1.8k – $1.8k |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 37 | $116 – $116 |
| 5 | FLAGET HEALTHCARE, INC Bardstown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 32 | $2.6k – $2.6k |
| 6 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $8.3k | $8.3k | — | — | 21 | $8.3k – $8.3k |
| 7 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | 21 | $325 – $325 |
| 8 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $627 | $627 | — | — | 21–30 | $627 – $627 |
| 9 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · outpatientfrom % of charges | 1 | $13.0k | $13.0k | — | — | 17 | $13.0k – $13.0k |
| 10 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $1.0k | 65% | 14 | $565 – $2.7k |
| 11 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | $3.3k | 59% | 13 | $2.3k – $8.9k |
| 12 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 13 | $2.7k – $2.7k |
| 13 | Monmouth Medical Center Long Branch, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 12 | $2.9k – $2.9k |
| 14 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $271 | $484 | $499 | 103% | 11 | $29 – $2.0k |
| 15 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $263 | $471 | $487 | 103% | 11 | $28 – $2.0k |
| 16 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $377 | $430 | $116 | 27% | 10–100 | $349 – $672 |
| 17 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $930 | $1.2k | $762 | 63% | 9–90 | $346 – $2.0k |
| 18 | MaineHealth Portland, ME other · both | 2 | $3.5k | $3.5k | — | — | 8–80 | $3.5k – $3.5k |
| 19 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $234 | $261 | $209 | 80% | 8–80 | $68 – $810 |
| 20 | North Memorial Health Care Robbinsdale, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $355 | $732 | $871 | 119% | 6–60 | $161 – $2.7k |
| 21 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $6.5k | $12.9k | $12.4k | 96% | 6–60 | $1.1k – $37.0k |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $397 | $405 | $135 | 33% | 5–50 | $229 – $632 |
| 23 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $4.0k | $6.0k | $4.3k | 72% | 5–50 | $1.1k – $13.4k |
| 24 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $297 | $297 | — | — | 4–40 | $297 – $297 |
| 25 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $297 | $297 | — | — | 4–40 | $297 – $297 |
← Payers reporting CPT 41899 · Snapshot 20261111T120946Z-9134e7f7