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
Surg exp root surf premolar
Low
$361
Average
$1.7k
Median
$1.2k
High
$23.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
229 hospitals; the 90th percentile is 3.3× 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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244 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $306 | $395 | $146 | 37% | — | $255 – $573 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $696 | $696 | — | — | — | $696 – $696 |
| 4 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 5 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 6 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $685 | $685 | $10 | 1% | — | $675 – $695 |
| 7 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 8 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 9 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $692 | $692 | — | — | — | $692 – $692 |
| 10 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 6 | $1.8k | $2.1k | $1.1k | 54% | — | $979 – $4.4k |
| 11 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 6 | $1.8k | $2.1k | $1.1k | 54% | — | $979 – $4.4k |
| 12 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | $1.6k | 65% | — | $874 – $4.2k |
| 13 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 14 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 15 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $1.6k | $1.6k | $621 | 39% | — | $952 – $2.2k |
| 19 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 4 | $1.5k | $1.4k | $395 | 28% | — | $788 – $1.9k |
| 20 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $592 | $592 | — | — | — | $592 – $592 |
| 21 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $693 | $693 | — | — | — | $693 – $693 |
| 22 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 6 | $660 | $660 | — | — | — | $660 – $660 |
| 24 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $471 | $399 | $102 | 26% | — | $255 – $471 |
| 25 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 2 | $2.4k | $2.4k | $446 | 18% | — | $2.0k – $2.9k |
← Payers reporting HCPCS D3502 · Snapshot 20261112T124536Z-e251e855