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
Sealant repair per tooth
Low
$1
Average
$4.2k
Median
$33
High
$35k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 10363.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | HealthAlliance Hospital Kingston, NY | $35k | $35k | — | — | — | $35k – $35k |
| 3 | University of Florida Health Gainesville, FL | $33 | $33 | — | — | — | $33 – $33 |
| 4 | The Union Hospital Association Dover, OH | $1 | $1 | — | — | — | $1 – $1 |
| 5 | The Cleveland Clinic Foundation Cleveland, OH | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $1.2k | $1.2k | $5 | 0% | — | $1.2k – $1.2k |
| 7 | Akron General Medical Center Akron, OH | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Arkansas Childrens Hospital Little Rock, AR | $62 | $63 | $6 | 9% | — | $57 – $71 |
| 9 | Wesley Health System LLC Hattiesburg, MS | $13.3k | $12.5k | $8.0k | 64% | — | $91 – $23.7k |
| 10 | UF Health The Villages, FL | $32 | $32 | — | — | — | $32 – $32 |
Ask Claude or any MCP client for HCPCS D1353 pricing at a specific hospital — see how to connect.