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
Low
$1
Average
$303
Median
$74
High
$1.6k
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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. 10 hospitals; the 90th percentile is 1082.9× 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.
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 | University of Florida Health Gainesville, FL | $89 | $89 | — | — | — | $89 – $89 |
| 3 | The Union Hospital Association Dover, OH | $1 | $1 | — | — | — | $1 – $1 |
| 4 | The Cleveland Clinic Foundation Cleveland, OH | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $1.2k | $1.2k | $5 | 0% | — | $1.1k – $1.2k |
| 6 | Akron General Medical Center Akron, OH | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Arkansas Childrens Hospital Little Rock, AR | $62 | $63 | $6 | 9% | — | $57 – $71 |
| 8 | UF Health The Villages, FL | $85 | $85 | — | — | — | $85 – $85 |
| 9 | Cleveland Clinic Mercy Hospital Canton, OH | $1 | $1 | — | — | — | $1 – $1 |
| 10 | UF Health Leesburg, FL | $85 | $85 | — | — | — | $85 – $85 |
Ask Claude or any MCP client for HCPCS D1354 pricing at a specific hospital — see how to connect.