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
$1
Average
$807
Median
$257
High
$13.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
975 hospitals; the 90th percentile is 12.2× 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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1,315 hospital rates
iThe hospitals that file a Humana 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 | 4 | $15.8k | $12.3k | $6.9k | 56% | 448 | $2.4k – $18.7k |
| 2 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $3.2k | $3.2k | — | — | 106 | $3.2k – $3.2k |
| 3 | St Tammany Hosptial Service District No 2 Slidell, LA case rate · outpatient | 1 | $774 | $774 | — | — | 25 | $774 – $774 |
| 4 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $6.1k | $6.1k | — | — | 18 | $6.1k – $6.1k |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | $14 | 6% | 2–20 | $210 – $238 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $196 | $196 | — | — | 2–20 | $196 – $196 |
| 7 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 2 | $4.4k | $4.4k | — | — | 2–20 | $4.4k – $4.4k |
| 8 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | $15 | 6% | 2–20 | $227 – $257 |
| 9 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 1 | $6.4k | $6.4k | — | — | 1–10 | $6.4k – $6.4k |
| 10 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 1 | $6.4k | $6.4k | — | — | 1–10 | $6.4k – $6.4k |
| 11 | FLAGET HEALTHCARE, INC Bardstown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 12 | High Point Regional Health High Point, NC other · outpatient | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 14 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 15 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 16 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 17 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $227 | $198 | $75 | 38% | 1–10 | $1 – $227 |
| 18 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 19 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 20 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $221 | $221 | — | — | 1–10 | $221 – $221 |
| 21 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · outpatient | 1 | $244 | $244 | — | — | 1–10 | $244 – $244 |
| 22 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 23 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $342 | $342 | — | — | 1–10 | $342 – $342 |
| 24 | University Hospital & Clinics, Inc. Lafayette, LA case rate · outpatient | 1 | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 25 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $238 | $238 | — | — | 1–10 | $238 – $238 |
← Payers reporting CPT 41899 · Snapshot 20261111T120946Z-9134e7f7