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 inlay resin 3/mre sur
Low
$4
Average
$3.1k
Median
$2.3k
High
$55.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 4.3× 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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99 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $1.5k | $1.3k | $514 | 39% | — | $612 – $1.8k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $1.9k | $1.4k | $557 | 39% | — | $739 – $1.9k |
| 4 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 6 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.0k | 76% | — | $641 – $4.7k |
| 7 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.0k | 76% | — | $641 – $4.7k |
| 8 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $1.0k | $1.0k | $335 | 33% | — | $669 – $1.3k |
| 9 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.0k | 76% | — | $641 – $4.7k |
| 10 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.0k | 76% | — | $643 – $4.7k |
| 11 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.0k | 76% | — | $641 – $4.7k |
| 12 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 2 | $6.8k | $6.8k | $842 | 12% | — | $6.0k – $7.7k |
| 13 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $428 | $428 | — | — | — | $428 – $428 |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $968 | $968 | $356 | 37% | — | $612 – $1.3k |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 3 | $1.5k | $1.3k | $493 | 38% | — | $612 – $1.8k |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 2 | $968 | $968 | $356 | 37% | — | $612 – $1.3k |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 2 | $968 | $968 | $356 | 37% | — | $612 – $1.3k |
| 23 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 24 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Charles A. Dean Memorial Hospital Greenville, ME facility · fee schedule · outpatient | 2 | $6.8k | $6.8k | $842 | 12% | — | $6.0k – $7.7k |
← Payers reporting HCPCS D2652 · Snapshot 20261112T124536Z-e251e855