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
$2.2k
Median
$567
High
$29.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1034 hospitals; the 90th percentile is 22.9× 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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1,482 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 Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $5.3k | $9.2k | $10.0k | 109% | 477 | $1.2k – $27.1k |
| 2 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 4 | $6.2k | $6.0k | $2.7k | 45% | 196–223 | $666 – $8.3k |
| 3 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $6.2k | $6.0k | $2.7k | 45% | 196–223 | $666 – $8.3k |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $15.0k | $15.5k | $9.2k | 59% | 190 | $2.7k – $31.5k |
| 5 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · outpatient | 1 | $259 | $259 | — | — | 123 | $259 – $259 |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $3.2k | $3.2k | — | — | 106 | $3.2k – $3.2k |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $1.7k | 96% | 96 | $72 – $3.5k |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $1.7k | 96% | 96 | $72 – $3.5k |
| 9 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · outpatientfrom % of charges | 3 | $13.9k | $13.8k | $178 | 1% | 64–100 | $13.5k – $13.9k |
| 10 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $2.0k | $2.0k | — | — | 54 | $2.0k – $2.0k |
| 11 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 2 | $963 | $2.0k | $1.5k | 75% | 50 | $890 – $4.1k |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $118 | $143 | $83 | 58% | 48 | $47 – $260 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $61 | $11 | 17% | 48 | $44 – $72 |
| 14 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · outpatientfrom % of charges | 4 | $5.1k | $5.0k | $316 | 6% | 41–68 | $4.4k – $5.3k |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $241 | $241 | — | — | 38–47 | $241 – $241 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $241 | $241 | — | — | 38–47 | $241 – $241 |
| 17 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 2 | $2.1k | $2.1k | $38 | 2% | 36 | $2.1k – $2.3k |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · outpatient | 3 | $1.9k | $1.9k | $146 | 8% | 34–88 | $1.1k – $2.3k |
| 19 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 5 | $2.5k | $2.5k | $325 | 13% | 32–50 | $2.0k – $3.0k |
| 20 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | 30 | $3.3k – $3.3k |
| 21 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.5k | $8.5k | $8.0k | 94% | 21–30 | $509 – $16.6k |
| 22 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $396 | $408 | $22 | 5% | 20–200 | $388 – $444 |
| 23 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 19 | $1.4k – $1.4k |
| 24 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $218 | $233 | $21 | 9% | 17–35 | $218 – $264 |
| 25 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $218 | $233 | $21 | 9% | 17–35 | $218 – $264 |
← Payers reporting CPT 41899 · Snapshot 20261111T120946Z-9134e7f7