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
D?cor or submerg erupt tooth
Low
$1
Average
$3.4k
Median
$1.8k
High
$34.3k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 700 hospitals; the 90th percentile is 10.9× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $640 | $755 | $292 | 39% | — | $209 – $1.2k |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 3 | Ingalls Memorial Hospital Harvey, IL | $762 | $3.1k | $3.4k | 109% | — | $693 – $7.9k |
| 4 | Hca Florida West Hospital PENSACOLA, FL | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $213 | $1.8k | $3.3k | 182% | — | $115 – $9.0k |
| 6 | Kettering Medical Center Miamisburg, OH | $1.3k | $1.6k | $846 | 54% | — | $641 – $3.1k |
| 7 | Kadlec Regional Medical Center Richland, WA | $864 | $1.2k | $618 | 50% | — | $720 – $2.5k |
| 8 | Methodist Hospital Hill Country Fredericksburg, TX | $6.5k | $7.6k | $2.2k | 29% | — | $6.5k – $12.0k |
| 9 | Hca Healthone Northeast Er THORNTON, CO | $3.3k | $4.7k | $3.6k | 77% | — | $1.4k – $9.4k |
| 10 | Houston Methodist Baytown Hospital Baytown, TX | $695 | $1.3k | $1.5k | 117% | — | $649 – $6.2k |
Ask Claude or any MCP client for HCPCS D3921 pricing at a specific hospital — see how to connect.