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
$116
Average
$1.1k
Median
$740
High
$8.7k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 11.0× 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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141 hospital rates
iThe hospitals that file a Aetna Better Health 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 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 1 | $209 | $208 | $2 | 1% | 70–97 | $204 – $209 |
| 2 | University Hospital & Clinics, Inc. Lafayette, LA case rate · outpatient | 1 | $774 | $774 | — | — | 16 | $774 – $774 |
| 3 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $2.1k | $2.1k | — | — | 14 | $2.1k – $2.1k |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $555 | $555 | — | — | 14 | $555 – $555 |
| 5 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · both | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 7 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Alexian Brothers Medical Center Village, IL other · inpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 9 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 10 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 12 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 15 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 16 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | $85 | 59% | — | $59 – $229 |
| 18 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | City Hospital, Inc. Martinsburg, WV facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 20 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $693 | $693 | — | — | — | $693 – $693 |
| 21 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 22 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 23 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 24 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA case rate · outpatient | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 25 | Garden City Hospital City, MI fee schedule · outpatient | 2 | $180 | $180 | $55 | 30% | — | $126 – $235 |
← Payers reporting CPT 41899 · Snapshot 20261112T124536Z-e251e855