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 Dental Prophylaxis Child
Low
$5
Average
$873
Median
$83
High
$35k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
142 hospitals; the 90th percentile is 87.4× 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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168 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 2 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $39 | $39 | $0 | 0% | 1–10 | $39 – $39 |
| 3 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $324 | $324 | — | — | 1–10 | $324 – $324 |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 3 | $65 | $65 | $2 | 2% | — | $64 – $67 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $49 | $48 | $1 | 2% | — | $46 – $49 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 5 | $49 | $525 | $585 | 111% | — | $46 – $1.2k |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $47 | $47 | $16 | 34% | — | $31 – $63 |
| 11 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Baylor Scott & White The Heart Hospital - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $36 | $36 | $3 | 9% | — | $33 – $39 |
← Payers reporting HCPCS D1120 · Snapshot 20261111T120946Z-9134e7f7