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.
Generation details were not recorded for this description.
Original text from hospital filings
HC Full Mouth Debridement
Low
$103
Average
$1.3k
Median
$1.3k
High
$5.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
225 hospitals; the 90th percentile is 3.9× 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.
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259 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $160 | $160 | $8 | 5% | — | $152 – $168 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $135 | $11 | 8% | — | $124 – $146 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $224 | $201 | $54 | 27% | — | $110 – $248 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $225 | $291 | $107 | 37% | — | $187 – $421 |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $685 | $685 | $10 | 1% | — | $675 – $695 |
| 9 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | $1.6k | 65% | — | $874 – $4.2k |
| 10 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 11 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 12 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $2.0k | $2.0k | $456 | 23% | — | $1.5k – $2.4k |
| 13 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · fee schedule · outpatient | 9 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · percent of total billed charges · outpatientfrom % of charges | 5 | $214 | $214 | — | — | — | $214 – $214 |
| 15 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $699 | $699 | — | — | — | $699 – $699 |
| 16 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $1.8k | $1.7k | $574 | 34% | — | $615 – $2.3k |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | — | — | — | $107 – $107 |
| 18 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 23 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 24 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 25 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · fee schedule · outpatient | 1 | $683 | $683 | — | — | — | $683 – $683 |
← Payers reporting HCPCS D4355 · Snapshot 20261111T120946Z-9134e7f7