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
PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT
Prices here combine facility and professional fees. See them separately →Experimental
Based on 11–110 billing samples across every hospital reporting.
Low
$12
Average
$246
Median
$165
High
$22.9k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 775 hospitals; the 90th percentile is 3.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Arkansas Childrens Hospital Little Rock, AR | $60 | $78 | $29 | 37% | 4–40 | $55 – $124 |
| 2 | Boston Medical Center Boston, MA | $155 | $165 | $130 | 79% | 2–20 | $35 – $513 |
| 3 | Strong Memorial Hospital Rochester, NY | $165 | $177 | $136 | 77% | 2–20 | $9 – $581 |
| 4 | Mercy Hospitals East Communities Washington, MO | $26 | $29 | $9 | 31% | 1–10 | $17 – $44 |
| 5 | Prisma Health Baptist Easley Hospital EASLEY, SC | $133 | $200 | $148 | 74% | 1–10 | $50 – $646 |
| 6 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $133 | $200 | $147 | 73% | 1–10 | $50 – $646 |
| 7 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $131 | $142 | $58 | 41% | — | $26 – $250 |
| 8 | Beth Israel Deaconess Hospital - Needham Needham, MA | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $42 | $80 | $65 | 80% | — | $17 – $288 |
| 10 | Mayo Regional Hospital Dover Foxcroft, ME | $27 | $130 | $232 | 178% | — | $14 – $698 |
Ask Claude or any MCP client for HCPCS D0120 pricing at a specific hospital — see how to connect.