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
Comp periodontal evaluation
Low
$53
Average
$163
Median
$139
High
$368
Each hospital's average First Health rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 2.1× 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.
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18 hospital rates
iThe hospitals that file a First Health 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 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 2 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 3 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 4 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 5 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 6 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 8 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 12 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 2 | $53 | $53 | $9 | 18% | — | $43 – $62 |
| 13 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $53 | $53 | $9 | 18% | — | $43 – $62 |
| 14 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 15 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 16 | Orlando Health Sebastian River Hospital Sebastian, FL fee schedule · outpatient | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 17 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 18 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
← Payers reporting HCPCS D0180 · Snapshot 20261112T124536Z-e251e855