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 PR ISOLAT TOOTH W/RUB DAM
Low
$66
Average
$597
Median
$832
High
$892
Filter by billing methodology
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. 19 hospitals; the 90th percentile is 6.1× 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 | Hmh Hospitals Corporation Hackensack, NJ | $982 | $891 | $255 | 29% | — | $208 – $1.1k |
| 2 | Hmh Hospitals Corporation Red Bank, NJ | $911 | $833 | $267 | 32% | — | $163 – $1.1k |
| 3 | Hmh Hospitals Corporation Edison, NJ | $895 | $846 | $217 | 26% | — | $248 – $1.0k |
| 4 | MVHS, Inc. Utica, NY | $69 | $66 | $8 | 12% | — | $40 – $76 |
| 5 | Hmh Hospitals Corporation Manahawkin, NJ | $953 | $862 | $269 | 31% | — | $208 – $1.1k |
| 6 | Hmh Hospitals Corporation Brick, NJ | $895 | $846 | $217 | 26% | — | $248 – $1.0k |
| 7 | Hmh Hospitals Corporation Neptune City, NJ | $981 | $892 | $274 | 31% | — | $192 – $1.2k |
| 8 | Hmh Hospitals Corporation Edison, NJ | $960 | $856 | $296 | 35% | — | $186 – $1.1k |
| 9 | Mercy Hospitals East Communities Washington, MO | $173 | $152 | $35 | 23% | — | $91 – $184 |
| 10 | The Union Hospital Association Dover, OH | $210 | $192 | $48 | 25% | — | $76 – $300 |
Ask Claude or any MCP client for HCPCS D3910 pricing at a specific hospital — see how to connect.