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
$1
Average
$82
Median
$12
High
$2.8k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 10.0× 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.
Filter by billing methodology
Filter by billing class
71 hospital rates
iThe hospitals that file a Kaiser 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 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Oakland, CA percent of total billed charges · bothfrom % of charges | 3 | $41 | $65 | $36 | 55% | 3–30 | $39 – $116 |
| 2 | KAISER FOUNDATION HOSPITAL - FREMONT FREMONT, CA percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | $39 | 50% | 2–20 | $39 – $116 |
| 3 | KAISER FOUNDATION HOSPITAL - MANTECA 95337, CA percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 4 | KAISER FOUNDATION HOSPITAL - MODESTO 95356, CA percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 5 | KAISER FOUNDATION HOSPITAL - SAN LEANDRO SAN LEANDRO, CA percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $174 | $226 | $204 | 90% | — | $31 – $523 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | $2 | 26% | — | $6 – $10 |
| 8 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 3 | $24 | $22 | $8 | 36% | — | $13 – $30 |
| 11 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Children's National Hospital Washington, DC professional · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 24 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 3 | $53 | $50 | $14 | 29% | — | $30 – $65 |
| 25 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $53 | $50 | $14 | 29% | — | $30 – $65 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7