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
Interim caries med app
Low
$0
Average
$105
Median
$95
High
$457
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 131 hospitals; the 90th percentile is 17.5× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $41 | $40 | $16 | 41% | — | $20 – $58 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $4 | $157 | $364 | 232% | — | $4 – $1.2k |
| 5 | Adventist Health Mendocino Coast Bragg, CA | $216 | $189 | $87 | 46% | — | $72 – $279 |
| 6 | Gundersen Luthern Medical Center Inc La Crosse, WI | $60 | $65 | $10 | 16% | — | $60 – $86 |
| 7 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $11 | $11 | — | — | — | $11 – $11 |
| 8 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $49 | $49 | — | — | — | $49 – $49 |
| 9 | University Medical Center of Southern Nevada Las Vegas, NV | $67 | $73 | $12 | 16% | — | $62 – $109 |
| 10 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ | $136 | $136 | — | — | — | $136 – $136 |
Ask Claude or any MCP client for HCPCS D1354 pricing at a specific hospital — see how to connect.