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
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral
Low
$111
Average
$3.1k
Median
$3.1k
High
$20.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1246 hospitals; the 90th percentile is 13.2× 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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1,870 hospital rates
iThe hospitals that file a Aetna 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 Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $12.1k | $11.7k | $3.3k | 28% | 6–60 | $5.2k – $15.6k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $15.4k | $18.4k | $11.1k | 61% | 6–60 | $9.7k – $42.4k |
| 3 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $10.0k | $13.0k | $7.9k | 61% | 4–40 | $5.6k – $26.3k |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | 2–20 | $3.6k – $3.6k |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | $1.2k | 70% | 2–20 | $525 – $3.0k |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $3.4k | $3.4k | $164 | 5% | 2–20 | $3.3k – $3.6k |
| 7 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $724 | $724 | $35 | 5% | 2–20 | $690 – $759 |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 10 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.6k | $10.6k | — | — | 1–10 | $10.6k – $10.6k |
| 11 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 12 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 13 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 14 | The University of Texas Medical Branch Webster, TX other · both | 2 | $4.1k | $4.1k | $733 | 18% | 1–10 | $3.4k – $4.8k |
| 15 | The University of Texas Medical Branch Webster, TX other · outpatient | 2 | $1.7k | $1.7k | $1.7k | 98% | 1–10 | $42 – $3.4k |
| 16 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $1.3k | $1.2k | $207 | 17% | 1–10 | $812 – $1.3k |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.7k | $1.7k | $1.2k | 71% | — | $498 – $2.9k |
| 18 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 19 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 20 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 21 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $232 | $232 | $87 | 37% | — | $145 – $319 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $723 | $768 | $98 | 13% | — | $678 – $904 |
← Payers reporting CPT 42330 · Snapshot 20261112T124536Z-e251e855