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
DENTAL ONLAY PORCELIN 3 SURF
Low
$443
Average
$869
Median
$700
High
$1.3k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 2.9× 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 | Bellevue Medical Center Llc Bellevue, NE | $453 | $443 | $18 | 4% | — | $407 – $453 |
| 2 | MVHS, Inc. Utica, NY | $743 | $718 | $88 | 12% | — | $436 – $818 |
| 3 | Mercy Hospitals East Communities Washington, MO | $774 | $682 | $155 | 23% | — | $407 – $823 |
| 4 | The Union Hospital Association Dover, OH | $1.4k | $1.3k | $320 | 25% | — | $508 – $2k |
| 5 | The Cleveland Clinic Foundation Cleveland, OH | $1.3k | $1.3k | $325 | 26% | — | $508 – $2k |
| 6 | Akron General Medical Center Akron, OH | $1.4k | $1.3k | $324 | 25% | — | $508 – $2k |
| 7 | Upstate University Hospital Syracuse, NY | $586 | $597 | $289 | 48% | — | $224 – $1.0k |
| 8 | Nebraska Medical Center Omaha, NE | $453 | $443 | $18 | 4% | — | $407 – $453 |
| 9 | Cleveland Clinic Mercy Hospital Canton, OH | $1.4k | $1.3k | $354 | 27% | — | $508 – $2k |
| 10 | Chambers Health Anahuac, TX | $668 | $639 | $123 | 19% | — | $464 – $755 |
Ask Claude or any MCP client for HCPCS D2643 pricing at a specific hospital — see how to connect.