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
$40
Average
$3.2k
Median
$667
High
$50.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
316 hospitals; the 90th percentile is 41.7× 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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453 hospital rates
iThe hospitals that file a First 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 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $12.0k | $12.0k | $7.1k | 59% | 53 | $4.9k – $19.1k |
| 2 | Fairview Health Services Edina, MN percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | $1 | 2% | 2–20 | $39 – $41 |
| 3 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $8.6k | $10.8k | $7.8k | 72% | 2–20 | $3.4k – $22.7k |
| 4 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $396 | $609 | $309 | 51% | 1–10 | $385 – $1.0k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $10.7k | $9.6k | 90% | 1–10 | $3.7k – $24.2k |
| 6 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21.1k | $21.1k | $16.0k | 76% | 1–10 | $5.1k – $37.0k |
| 7 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $15.4k | $15.4k | — | — | 1–10 | $15.4k – $15.4k |
| 8 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 9 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 13 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $779 | $779 | — | — | — | $779 – $779 |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $779 | $779 | — | — | — | $779 – $779 |
| 20 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 22 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 23 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
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