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
$58
Average
$288
Median
$294
High
$513
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | UMass Memorial Medical Center Worcester, MA | $58 | $58 | — | — | — | $18 – $58 |
| 2 | HealthAlliance - Clinton Hospital Leominster, MA | $294 | $294 | — | — | — | $22 – $294 |
| 3 | Boston Medical Center Boston, MA | $513 | $513 | — | — | — | $23 – $513 |
Ask Claude or any MCP client for HCPCS D1206 pricing at a specific hospital — see how to connect.