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
$595
Average
$1.5k
Median
$1.6k
High
$3.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
145 hospitals; the 90th percentile is 3.6× 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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146 hospital rates
iThe hospitals that file a WellCare 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 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $619 | $619 | — | — | — | $619 – $619 |
| 4 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 8 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 9 | Boston Medical Center Boston, MA other · both | 1 | $781 | $781 | — | — | — | $781 – $781 |
| 10 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 14 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $696 | $696 | — | — | — | $696 – $696 |
| 15 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 16 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 20 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 22 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 23 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 25 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Payers reporting HCPCS D4355 · Snapshot 20261111T120946Z-9134e7f7