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
$7
Average
$129
Median
$26
High
$477
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 48.8× 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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8 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7