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
$12.6k
Median
$24
High
$3450.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
275 hospitals; the 90th percentile is 5.0× 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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381 hospital rates
iThe hospitals that file a Cigna 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $58 | $59 | $1 | 2% | 49 | $58 – $61 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $58 | $58 | $11 | 20% | 35 | $46 – $69 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $39 | $39 | — | — | 26 | $39 – $39 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 22 | $14 – $14 |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 16 | $64 – $64 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 14 | $52 – $52 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $58 | $58 | $11 | 20% | 2–20 | $46 – $69 |
| 8 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | $3 | 8% | 2–20 | $36 – $43 |
| 9 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 11 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 12 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 13 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 14 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 16 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 17 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 18 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $12 | $12 | $4 | 35% | 1–10 | $8 – $16 |
| 19 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $12 | $12 | $5 | 39% | 1–10 | $7 – $17 |
| 20 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $5 | 17% | — | $24 – $34 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $16 | $16 | $1 | 8% | — | $15 – $17 |
| 24 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $16 | $16 | $6 | 35% | — | $10 – $24 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $17 | $18 | $2 | 12% | — | $15 – $21 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7