Partial denture repair: replacing teeth

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Replace part denture teeth

Payers reporting HCPCS D5640

Payer pricing summary

Low

$15

Average

$546

Median

$136

High

$7.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +7 other terms	75	$294	$316	$174	55%	—	$1 – $539
2	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
3	Aetna fee schedule · outpatient · +10 other terms	26	$79	$175	$166	95%	—	$46 – $698
4	UnitedHealthcare fee schedule · outpatient · +11 other terms	26	$119	$140	$108	77%	—	$16 – $546
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$88	$129	$64	50%	—	$67 – $277
6	Caresource facility · case rate · outpatient · +2 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	13	$226	$224	$63	28%	—	$39 – $314
8	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	13	$69	$76	$26	34%	—	$69 – $166
9	Optum facility · case rate · outpatient · +3 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
10	Highmark fee schedule · outpatient · +3 other terms	11	$100	$105	$38	37%	—	$100 – $480
11	Cigna professional · fee schedule · outpatient · +5 other terms	10	$71	$69	$3	5%	—	$62 – $71
12	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$15	$15	—	—	—	$15 – $15
13	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$138	$139	$5	4%	—	$132 – $157
14	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$126	$128	$4	3%	—	$126 – $138
15	Medicaid fee schedule · outpatient · +1 other terms	7	$218	$218	—	—	—	$218 – $218
16	Medica fee schedule · outpatient · +3 other terms	5	$130	$96	$24	25%	—	$71 – $130
17	Kaiser fee schedule · outpatient · +1 other terms	4	$299	$286	$110	38%	—	$152 – $523
18	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$76	$76	—	—	—	$76 – $76
19	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
20	Excellus fee schedule · outpatient · +2 other terms	2	$145	$145	—	—	—	$145 – $145
21	Bcbs Id professional · fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
22	Bcbs Mn fee schedule · outpatient	1	$237	$237	—	—	—	$237 – $237
23	Bcbs Nv fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
24	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$135	$135	—	—	—	$135 – $135
25	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$76	$76	$9	11%	—	$67 – $84

Page 1 of 2 · 34 payers