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
$1
Average
$3.3k
Median
$3.0k
High
$39.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1336 hospitals; the 90th percentile is 18.5× 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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2,100 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $19.8k | $23.7k | $9.2k | 39% | 3–30 | $14.8k – $36.4k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $42.4k | $44.8k | $3.5k | 8% | 3–30 | $42.4k – $49.8k |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 4 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $2.3k | $2.3k | $119 | 5% | 2–20 | $2.1k – $2.4k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $3.8k | $3.8k | $199 | 5% | 2–20 | $3.6k – $4.0k |
| 6 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $1.7k | $1.7k | $87 | 5% | 2–20 | $1.6k – $1.7k |
| 7 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $2.3k | $2.3k | $119 | 5% | 2–20 | $2.1k – $2.4k |
| 8 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $26.3k | $26.3k | — | — | 2–20 | $26.3k – $26.3k |
| 9 | F.F. Thompson Hospital Canandaigua, NY percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 10 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 11 | Mayo Clinic Rochester, MN facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 12 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $48.3k | $48.3k | — | — | 1–10 | $48.3k – $48.3k |
| 13 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $34.2k | $34.2k | — | — | 1–10 | $34.2k – $34.2k |
| 14 | Renown Regional Medical Center Reno, NV facility · case rate · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 15 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 16 | St Tammany Hosptial Service District No 2 Slidell, LA fee schedule · outpatient | 1 | $8.1k | $8.1k | $340 | 4% | 1–10 | $7.8k – $8.5k |
| 17 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 18 | Tufts Medical Center BOSTON, MA other · both | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 19 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $7.9k | $7.6k | $2.4k | 31% | 1–10 | $4.7k – $9.9k |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $2.0k | $2.0k | $993 | 51% | — | $962 – $2.9k |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $214 | $194 | $28 | 15% | — | $154 – $214 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $218 | $196 | $31 | 16% | — | $153 – $218 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $214 | $193 | $29 | 15% | — | $153 – $214 |
| 24 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $3.0k | $2.5k | $1.2k | 49% | — | $175 – $3.5k |
| 25 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $3.0k | $2.5k | $1.2k | 49% | — | $175 – $3.5k |
← Payers reporting CPT 42330 · Snapshot 20261112T124536Z-e251e855