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
PULP CAP INDIRECT
Low
$27
Average
$941
Median
$751
High
$3.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
273 hospitals; the 90th percentile is 10.5× 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.
Filter by billing methodology
Filter by billing class
284 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $709 | $709 | — | — | — | $709 – $709 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 5 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 2 | $1.9k | $1.9k | $176 | 9% | — | $1.7k – $2.1k |
| 8 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 2 | $1.9k | $1.9k | $176 | 9% | — | $1.7k – $2.1k |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Boston Medical Center Boston, MA other · both | 1 | $751 | $751 | — | — | — | $751 – $751 |
| 11 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $693 | $693 | — | — | — | $693 – $693 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 2 | $841 | $841 | $791 | 94% | — | $50 – $1.6k |
| 16 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 2 | $861 | $861 | $805 | 94% | — | $56 – $1.7k |
| 17 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 2 | $861 | $861 | $805 | 94% | — | $56 – $1.7k |
| 18 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 3 | $647 | $647 | — | — | — | $647 – $647 |
| 19 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 3 | $647 | $647 | — | — | — | $647 – $647 |
| 25 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
← Payers reporting HCPCS D3120 · Snapshot 20261111T120946Z-9134e7f7