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.
Original text from hospital filings
DRAINAGE OF ABSCESS OF LOWER JAW FROM INSIDE OF MOUTH
Low
$51
Average
$304
Median
$289
High
$889
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 4.8× 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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35 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 2 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 3 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $889 | $889 | — | — | — | $889 – $889 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 9 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 11 | Henry Ford Health Novi, MI other · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 12 | Henry Ford Health Twp, MI other · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 13 | Henry Ford Health Southfield, MI other · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 14 | Henry Ford Health Rochester, MI other · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 15 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $889 | $889 | — | — | — | $889 – $889 |
| 17 | Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 18 | Mercy Hospital Lincoln Troy, MO facility · fee schedule · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 19 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 20 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $342 | $342 | $92 | 27% | — | $250 – $434 |
| 21 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $342 | $342 | $92 | 27% | — | $250 – $434 |
| 22 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 23 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 24 | Mercy Perry Perryville, MO facility · fee schedule · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 25 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
← Payers reporting CPT 42310 · Snapshot 20261113T090226Z-3ce6c0b8