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
Osseous surg 1 to 3 teeth
Low
$3.0k
Average
$7.2k
Median
$7.7k
High
$10.4k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 3.1× 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.
Filter by billing methodology
Filter by billing class
15 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 2 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 3 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 4 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 5 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 6 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 7 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 8 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $5.8k | $6.5k | $4.6k | 71% | — | $1.7k – $12.5k |
| 9 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 10 | Summa Health System Wadsworth, OH fee schedule · outpatient | 3 | $6.3k | $7.1k | $3.5k | 49% | — | $2.9k – $13.9k |
| 11 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 13 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 14 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA fee schedule · outpatient | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 15 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
← Payers reporting HCPCS D4261 · Snapshot 20261112T124536Z-e251e855