Topical fluoride varnish application

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Topical Fluoride Varnish Appl

Regence pricing summary

Low

Average

$213

Median

$18

High

$5.8k

Regence rate distribution

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37 hospital rates

#		Plans
1	NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges	3	$8	$10	$4	40%	39	$5 – $15
2	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	1	$19	$19	—	—	1–10	$19 – $19
3	ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient	1	$47	$47	—	—	—	$47 – $47
4	ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient	14	$24	$22	$9	41%	—	$10 – $37
5	CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient	4	$14	$13	$2	14%	—	$10 – $15
6	CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient	4	$14	$13	$2	14%	—	$10 – $15
7	CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient	4	$14	$13	$2	14%	—	$10 – $15
8	CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient	4	$14	$13	$2	14%	—	$10 – $15
9	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	4	$14	$13	$2	14%	—	$10 – $15
10	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	2	$35	$35	$15	42%	—	$20 – $50
11	Columbia Lutheran Charities Astoria, OR professional · fee schedule · both	1	$19	$19	—	—	—	$19 – $19
12	GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
13	GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient	14	$24	$22	$9	41%	—	$10 – $37
14	GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both	2	$16	$16	$5	34%	—	$11 – $21
15	GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient	1	$16	$16	$1	9%	—	$14 – $17
16	MID-VALLEY HEALTHCARE INC Lebanon, OR professional · fee schedule · outpatient	14	$24	$22	$9	41%	—	$10 – $37
17	Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
18	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	4	$13	$13	$1	6%	—	$13 – $15
19	MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient	4	$15	$15	$1	4%	—	$14 – $15
20	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	4	$13	$13	$1	6%	—	$13 – $15
21	MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21
22	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient	4	$17	$17	$1	4%	—	$16 – $17
23	NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR fee schedule · outpatient	1	$298	$298	—	—	—	$298 – $298
24	OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient	2	$36	$36	—	—	—	$36 – $36
25	PORTLAND ADVENTIST MEDICAL CENTER Portland, OR fee schedule · outpatient	2	$38	$38	$2	5%	—	$36 – $40

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← Payers reporting CPT 99188 · Snapshot 20261111T120946Z-9134e7f7

CPT 99188