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
$9
Average
$423
Median
$12
High
$20k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 1.5× 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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53 hospital rates
iThe hospitals that file a Devoted 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 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 4 | $11 | $11 | $1 | 12% | — | $9 – $13 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $20k | $20k | — | — | — | $20k – $20k |
| 3 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 4 | $11 | $11 | $1 | 12% | — | $9 – $13 |
| 14 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Longs Peak Hospital Longmont, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | MID-VALLEY HEALTHCARE INC Lebanon, OR professional · fee schedule · outpatient | 4 | $11 | $11 | $1 | 12% | — | $9 – $13 |
| 18 | Medical Center of the Rockies Loveland, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 20 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR fee schedule · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 22 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | Poudre Valley Health Care, Inc Fort Collins, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 25 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR professional · fee schedule · outpatient | 4 | $11 | $11 | $1 | 12% | — | $9 – $13 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7