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
$261
Median
$18
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
194 hospitals; the 90th percentile is 39.8× 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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243 hospital rates
iThe hospitals that file a Molina 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 320 | $123 – $123 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 320 | $123 – $123 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $9 | $9 | $2 | 20% | 106 | $7 – $11 |
| 4 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $9 | $9 | $2 | 21% | 11 | $7 – $12 |
| 5 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 6 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC per diem · both | 1 | $104 | $104 | — | — | 1–10 | $104 – $104 |
| 7 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 10 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $18 | $18 | $6 | 34% | — | $12 – $24 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 19 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 20 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 21 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 22 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $19 | $19 | $7 | 35% | — | $12 – $26 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $19 | $19 | $7 | 35% | — | $12 – $26 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $19 | $19 | $7 | 35% | — | $12 – $26 |
← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7