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 Intraoral Occlusal Film
Low
$17
Average
$93
Median
$88
High
$761
Each hospital's average Humana rate, under the methodology and billing class chosen below.
309 hospitals; the 90th percentile is 1.8× 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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341 hospital rates
iThe hospitals that file a Humana 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 3 | AdventHealth Deland Deland, FL fee schedule · outpatient | 2 | $98 | $98 | $3 | 3% | — | $95 – $101 |
| 4 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 2 | $97 | $97 | $2 | 2% | — | $95 – $99 |
| 6 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 2 | $98 | $98 | $3 | 3% | — | $95 – $101 |
| 7 | Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 9 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 2 | $98 | $98 | $3 | 3% | — | $95 – $101 |
| 10 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 12 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 13 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 15 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 16 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 18 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 20 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 21 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 22 | Boston Medical Center Boston, MA other · both | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 23 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 24 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 25 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
← Payers reporting HCPCS D0240 · Snapshot 20261111T120946Z-9134e7f7