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
HC Topical Fluoride Varnish Appl
Low
$0
Average
$10.9k
Median
$20
High
$4160.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
388 hospitals; the 90th percentile is 6.9× 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.
Filter by billing methodology
Filter by billing class
549 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 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 4% | 34 | $15 – $17 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $48 | $17 | 36% | 29–47 | $29 – $70 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $49 | $49 | $3 | 6% | 21–30 | $46 – $52 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $58 | $58 | — | — | 18 | $58 – $58 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 13 | $71 – $71 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $17 | $15 | $5 | 32% | 11 | $8 – $20 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $17 | $15 | $5 | 32% | 11 | $7 – $20 |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $15 | $19 | $10 | 52% | 4–40 | $11 – $39 |
| 9 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | $16 | 35% | 2–20 | $29 – $61 |
| 10 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $3 | 8% | 2–20 | $34 – $40 |
| 11 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 2–20 | $52 – $52 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $48 | $45 | $4 | 10% | 2–20 | $39 – $48 |
| 13 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $48 | $46 | $4 | 9% | 2–20 | $39 – $48 |
| 14 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $48 | $45 | $4 | 10% | 2–20 | $39 – $48 |
| 15 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $48 | $46 | $4 | 9% | 2–20 | $39 – $48 |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $24 | $24 | $5 | 20% | 2–20 | $18 – $30 |
| 17 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 18 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 20 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 21 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 23 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 24 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 25 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7