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
Dentures immediat maxillary
Low
$198
Average
$1.5k
Median
$1.3k
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
37 payers; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +8 other terms | 71 | $2.6k | $3.3k | $2.0k | 62% | — | $152 – $5.9k |
| 2 | Molina facility · case rate · outpatient · +6 other terms | 30 | $973 | $4.3k | $19.3k | 451% | — | $172 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 26 | $555 | $1.1k | $1.4k | 121% | — | $79 – $6.6k |
| 4 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 23 | $1.1k | $1.0k | $436 | 42% | — | $152 – $2.4k |
| 5 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 15 | $1.9k | $1.8k | $228 | 12% | — | $1.3k – $1.9k |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 14 | $1.4k | $1.4k | $113 | 8% | — | $1.3k – $1.5k |
| 9 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 13 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 13 | $1.4k | $1.2k | $422 | 36% | — | $188 – $1.4k |
| 11 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 13 | $390 | $384 | $122 | 32% | — | $208 – $728 |
| 12 | Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms | 12 | $2.4k | $2.1k | $760 | 36% | — | $388 – $2.5k |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 11 | $976 | $962 | $91 | 9% | — | $314 – $976 |
| 14 | Cigna professional · fee schedule · outpatient · +6 other terms | 10 | $651 | $645 | $14 | 2% | — | $612 – $652 |
| 15 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $411 | $411 | — | — | — | $411 – $411 |
| 16 | Aetna Better Health facility · case rate · outpatient | 7 | $238 | $237 | $3 | 1% | — | $228 – $238 |
| 17 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $218 | $221 | $7 | 3% | — | $218 – $238 |
| 18 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Medica fee schedule · outpatient · +3 other terms | 5 | $1.2k | $880 | $223 | 25% | — | $647 – $1.2k |
| 20 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $749 | $720 | $517 | 72% | — | $152 – $1.4k |
| 21 | Wellmark facility · case rate · outpatient | 3 | $755 | $662 | $209 | 32% | — | $308 – $833 |
| 22 | Excellus fee schedule · outpatient · +1 other terms | 2 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Tricare facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Bcbs Id professional · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Hospitals reporting HCPCS D5130 · Snapshot 20261112T124536Z-e251e855