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.
Generation details were not recorded for this description.
Original text from hospital filings
HC Dental Sealant per Tooth
Low
$26
Average
$5.2k
Median
$76
High
$84.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 80.6× 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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45 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 7 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 8 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 9 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 11 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 12 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 13 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 15 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 16 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 17 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 18 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $23.4k | $23.4k | $754 | 3% | — | $22.6k – $24.1k |
| 19 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Laredo Texas Hospital Company LP Laredo, TX facility · case rate · outpatient | 1 | $68.2k | $68.2k | — | — | — | $68.2k – $68.2k |
| 21 | Laredo Texas Hospital Company LP Laredo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $79.1k | $79.1k | — | — | — | $79.1k – $79.1k |
| 22 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 23 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 24 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 25 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Payers reporting HCPCS D1351 · Snapshot 20261111T120946Z-9134e7f7