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
TOPICAL APP OF FLUORIDE
Low
$1
Average
$1.0k
Median
$52
High
$24.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 33.9× 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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87 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Wesley Health System LLC Hattiesburg, MS facility · other · outpatient | 1 | $17.5k | $17.5k | — | — | 12 | $17.5k – $17.5k |
| 2 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 3 | Vicksburg Healthcare LLC Vicksburg, MS facility · other · outpatient | 1 | $24.1k | $24.1k | — | — | 1–10 | $24.1k – $24.1k |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $86 | $86 | $5 | 5% | — | $82 – $91 |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $6 | 8% | — | $66 – $79 |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 8 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $120 | $108 | $29 | 27% | — | $59 – $133 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $98 | $126 | $47 | 37% | — | $81 – $183 |
| 10 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 14 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · percent of total billed charges · outpatientfrom % of charges | 11 | $28 | $28 | $11 | 38% | — | $8 – $37 |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $26 | $26 | $1 | 3% | — | $26 – $27 |
| 18 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $33 | $33 | $1 | 2% | — | $32 – $33 |
| 20 | Boston Medical Center Boston, MA fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $151 | $128 | $33 | 26% | — | $81 – $151 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 24 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $120 | $120 | — | — | — | $120 – $120 |
| 25 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
← Payers reporting HCPCS D1208 · Snapshot 20261111T120946Z-9134e7f7