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
$29
Average
$167
Median
$86
High
$1.2k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 5.3× 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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36 hospital rates
iThe hospitals that file a Humana 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 3 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 4 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 5 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Duke University Hospital Durham, NC professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Duke University Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Duke University Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 4 | $55 | $57 | $4 | 7% | — | $55 – $65 |
| 13 | Henry Ford Health System West Bloomfield, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 4 | $55 | $57 | $4 | 7% | — | $55 – $65 |
| 15 | Henry Ford Health System Plymouth, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 16 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · fee schedule · outpatient | 4 | $55 | $57 | $4 | 7% | — | $55 – $65 |
| 19 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 21 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS D1354 · Snapshot 20261111T120946Z-9134e7f7