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
REP PART DENTURE CAST FRAME
Low
$117
Average
$319
Median
$274
High
$672
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 3.7× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 8 | $280 | $270 | $96 | 36% | — | $152 – $403 |
| 2 | Medicaid fee schedule · outpatient | 7 | $672 | $672 | — | — | — | $672 – $672 |
| 3 | Anthem facility · fee schedule · outpatient | 6 | $393 | $356 | $138 | 39% | — | $80 – $503 |
| 4 | Humana facility · fee schedule · outpatient · +2 other terms | 6 | $238 | $238 | $40 | 17% | — | $163 – $274 |
| 5 | Aetna fee schedule · outpatient · +4 other terms | 4 | $373 | $380 | $165 | 44% | — | $152 – $619 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $444 | $456 | $193 | 42% | — | $152 – $672 |
| 7 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $538 | $538 | $48 | 9% | — | $470 – $605 |
| 8 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 4 | $173 | $177 | $21 | 12% | — | $152 – $194 |
| 9 | Excellus fee schedule · outpatient | 2 | $194 | $194 | — | — | — | $194 – $194 |
| 10 | Molina fee schedule · outpatient · +2 other terms | 2 | $194 | $194 | — | — | — | $194 – $194 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $144 | $144 | $12 | 9% | — | $132 – $157 |
| 12 | Amerihealth Caritas facility · case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 13 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | $13 | 11% | — | $104 – $130 |
| 14 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 15 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 16 | First Health professional · fee schedule · inpatient · +4 other terms | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | Healthpartners facility · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 18 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $605 | $605 | — | — | — | $605 – $605 |
| 19 | Wellmark facility · case rate · outpatient | 1 | $512 | $512 | $24 | 5% | — | $489 – $536 |
← Hospitals reporting HCPCS D5620 · Snapshot 20261112T181611Z-3fa9fb76