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
$156
Average
$3.7k
Median
$578
High
$23.2k
Each hospital's average Bcbs Il rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 58.3× 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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23 hospital rates
iThe hospitals that file a Bcbs Il 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 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21.0k | $21.0k | — | — | 2–20 | $21.0k – $21.0k |
| 2 | Blessing Hospital Quincy, IL professional · other · both | 1 | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 3 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $240 | $240 | — | — | — | $240 – $240 |
| 4 | Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient | 2 | $222 | $222 | — | — | — | $222 – $222 |
| 5 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 6 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $413 | $413 | $17 | 4% | — | $396 – $430 |
| 7 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $790 | $790 | $21 | 3% | — | $768 – $811 |
| 8 | Deaconess Illinois Union County Hospital Inc Anna, IL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $474 | $437 | $72 | 17% | — | $336 – $501 |
| 9 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 10 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $62 | 4% | — | $1.4k – $1.6k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 1 | $20.6k | $20.6k | — | — | — | $20.6k – $20.6k |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN other · outpatient | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · outpatient | 1 | $985 | $985 | — | — | — | $985 – $985 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN other · outpatient | 1 | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 1 | $864 | $864 | — | — | — | $864 – $864 |
| 17 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · both | 3 | $272 | $272 | — | — | — | $272 – $272 |
| 18 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL fee schedule · both | 3 | $252 | $252 | — | — | — | $252 – $252 |
| 19 | ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Litchfield, IL percent of total billed charges · bothfrom % of charges | 3 | $160 | $156 | $7 | 4% | — | $146 – $160 |
| 20 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · both | 3 | $254 | $254 | — | — | — | $254 – $254 |
| 21 | ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS Carlyle, IL fee schedule · both | 3 | $254 | $254 | — | — | — | $254 – $254 |
| 22 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL percent of total billed charges · bothfrom % of charges | 3 | $158 | $158 | — | — | — | $158 – $158 |
| 23 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · both | 3 | $254 | $254 | — | — | — | $254 – $254 |
← Payers reporting CPT 41899 · Snapshot 20261111T120946Z-9134e7f7