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
INT CARIES MED APP PER TOOTH
Based on 1–10 billing samples across every hospital reporting.
Low
$0
Average
$295
Median
$100
High
$3.3k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 185 hospitals; the 90th percentile is 48.7× 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 | The Presbyterian Hospital Charlotte, NC | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 2 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $41 | $40 | $16 | 41% | — | $20 – $58 |
| 4 | Baptist Medical Center of the Beaches, INC Beach, FL | $95 | $95 | $6 | 6% | — | $86 – $103 |
| 5 | Westfield Memorial Hospital Inc WESTFIELD, NY | $4 | $157 | $364 | 232% | — | $4 – $1.2k |
| 6 | Adventist Health Mendocino Coast Bragg, CA | $55 | $79 | $68 | 86% | — | $27 – $279 |
| 7 | Gundersen Luthern Medical Center Inc La Crosse, WI | $60 | $64 | $10 | 15% | — | $59 – $86 |
| 8 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Jefferson County Hospital OK Waurika, OK | $120 | $120 | — | — | — | $120 – $120 |
| 10 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $49 | $49 | — | — | — | $49 – $49 |
Ask Claude or any MCP client for HCPCS D1354 pricing at a specific hospital — see how to connect.