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 Topical Fluoride Varnish
Low
$1
Average
$487
Median
$90
High
$3.6k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 96.1× 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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12 hospital rates
iThe hospitals that file a Kaiser 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 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 2 | $3.6k | $3.6k | $1.4k | 40% | 2–20 | $2.2k – $5.0k |
| 2 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Oakland, CA percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $304 | $304 | $179 | 59% | — | $84 – $523 |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 2 | $118 | $118 | $34 | 29% | — | $84 – $152 |
| 6 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 9 | REEDLEY COMMUNITY HOSPITAL Reedley, CA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 10 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 2 | $84 | $134 | $105 | 78% | — | $39 – $280 |
| 12 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $18 | 37% | — | $31 – $67 |
← Payers reporting HCPCS D1206 · Snapshot 20261111T120946Z-9134e7f7