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
INTRAORAL OCCLUSAL RADIOGRAPHIC IMAGE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$1.6k
Median
$113
High
$35k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 807.6× 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 | Mercy Health Services-Iowa Corp. Mason City, IA | $697 | $830 | $249 | 30% | — | $626 – $1.4k |
| 2 | Benefis Hospitals Inc Falls, MT | $89 | $122 | $65 | 54% | — | $89 – $258 |
| 3 | Nationwide Children's Hospital Columbus, OH | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | MVHS, Inc. Utica, NY | $109 | $122 | $45 | 37% | — | $99 – $312 |
| 5 | Prisma Health Hillcrest Hospital SIMPSONVILLE, SC | $83 | $113 | $195 | 173% | — | $83 – $1.5k |
| 6 | HealthAlliance Hospital Kingston, NY | $35k | $35k | — | — | — | $35k – $35k |
| 7 | Prisma Health North Greenville Ltach Hospital TRAVELERS REST, SC | $85 | $114 | $195 | 172% | — | $83 – $1.5k |
| 8 | University of Florida Health Gainesville, FL | $25 | $25 | — | — | — | $25 – $25 |
| 9 | The Union Hospital Association Dover, OH | $1 | $1 | — | — | — | $1 – $1 |
| 10 | The Cleveland Clinic Foundation Cleveland, OH | $1 | $1 | — | — | — | $1 – $1 |
Ask Claude or any MCP client for HCPCS D0240 pricing at a specific hospital — see how to connect.