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
$20
Median
$15
High
$243
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 2621.0× 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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43 hospital rates
iThe hospitals that file a Ambetter 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 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Columbus Regional Hospital Columbus, IN other · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 13 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 16 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7