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
TEETH-PARTIAL VIEW
Low
$28
Average
$231
Median
$193
High
$878
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 8.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 545 | $308 | $299 | $267 | 89% | — | $1 – $7.1k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 522 | $227 | $238 | $451 | 189% | — | $1 – $8.4k |
| 3 | Cigna fee schedule · outpatient · +20 other terms | 388 | $195 | $286 | $271 | 95% | — | $12 – $1.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 358 | $257 | $347 | $337 | 97% | — | $1 – $1.8k |
| 5 | Humana fee schedule · outpatient · +25 other terms | 310 | $231 | $162 | $120 | 74% | — | $1 – $689 |
| 6 | Molina fee schedule · outpatient · +22 other terms | 194 | $235 | $155 | $149 | 96% | — | $1 – $957 |
| 7 | Anthem fee schedule · outpatient · +17 other terms | 134 | $118 | $107 | $195 | 183% | — | $5 – $1.7k |
| 8 | WellCare fee schedule · outpatient · +15 other terms | 126 | $243 | $249 | $121 | 48% | — | $8 – $566 |
| 9 | Ambetter fee schedule · outpatient · +12 other terms | 81 | $311 | $273 | $190 | 70% | — | $21 – $576 |
| 10 | Aetna Better Health fee schedule · outpatient · +10 other terms | 69 | $44 | $54 | $38 | 71% | — | $34 – $227 |
| 11 | Devoted fee schedule · outpatient · +10 other terms | 64 | $243 | $221 | $70 | 32% | — | $33 – $268 |
| 12 | Kaiser fee schedule · outpatient · +11 other terms | 61 | $345 | $414 | $338 | 81% | — | $28 – $1.8k |
| 13 | Oscar fee schedule · outpatient · +14 other terms | 51 | $458 | $315 | $223 | 71% | — | $1 – $681 |
| 14 | Optum fee schedule · outpatient · +12 other terms | 36 | $231 | $277 | $207 | 75% | — | $33 – $881 |
| 15 | Caresource facility · fee schedule · outpatient · +11 other terms | 33 | $367 | $523 | $1.3k | 255% | — | $8 – $7.9k |
| 16 | MultiPlan fee schedule · outpatient · +15 other terms | 31 | $274 | $249 | $270 | 108% | — | $38 – $2.0k |
| 17 | Bcbs Tx fee schedule · outpatient · +4 other terms | 29 | $716 | $789 | $366 | 46% | — | $227 – $1.7k |
| 18 | First Health fee schedule · outpatient · +14 other terms | 28 | $249 | $117 | $193 | 165% | — | $39 – $1.4k |
| 19 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 27 | $43 | $131 | $99 | 75% | — | $43 – $254 |
| 20 | Superior Healthplan facility · fee schedule · outpatient · +5 other terms | 27 | $146 | $139 | $104 | 75% | — | $41 – $294 |
| 21 | Clover fee schedule · outpatient · +8 other terms | 26 | $264 | $256 | $19 | 7% | — | $215 – $285 |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $303 | $302 | $60 | 20% | — | $228 – $396 |
| 23 | Tricare fee schedule · outpatient · +14 other terms | 25 | $216 | $226 | $41 | 18% | — | $185 – $305 |
| 24 | Regence professional · fee schedule · outpatient · +9 other terms | 21 | $19 | $23 | $19 | 81% | — | $8 – $98 |
| 25 | Highmark fee schedule · outpatient · +11 other terms | 19 | $91 | $91 | $126 | 138% | — | $2 – $700 |
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