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
Denture reln cmplt maxil ch
Low
$24
Average
$2.4k
Median
$279
High
$35.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 35.1× 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 · +9 other terms | 71 | $577 | $703 | $411 | 58% | — | $141 – $1.2k |
| 2 | Aetna fee schedule · outpatient · +11 other terms | 35 | $287 | $404 | $347 | 86% | — | $79 – $1.4k |
| 3 | Molina facility · case rate · outpatient · +7 other terms | 29 | $1.5k | $4.4k | $19.6k | 450% | — | $115 – $111.7k |
| 4 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 25 | $288 | $518 | $449 | 87% | — | $30 – $1.2k |
| 5 | Anthem professional · fee schedule · outpatient · +6 other terms | 16 | $161 | $279 | $158 | 57% | — | $153 – $633 |
| 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 · +5 other terms | 15 | $115 | $154 | $81 | 53% | — | $115 – $380 |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 14 | $107 | $107 | $9 | 8% | — | $99 – $116 |
| 9 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 13 | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms | 13 | $447 | $1.4k | $4.4k | 326% | — | $105 – $22k |
| 11 | Optum facility · case rate · outpatient · +3 other terms | 13 | $1.4k | $1.2k | $451 | 39% | — | $109 – $1.4k |
| 12 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 13 | $30 | $30 | $9 | 32% | — | $16 – $56 |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 11 | $264 | $259 | $231 | 89% | — | $191 – $1.1k |
| 14 | Cigna professional · fee schedule · outpatient · +6 other terms | 10 | $142 | $140 | $4 | 3% | — | $132 – $142 |
| 15 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Aetna Better Health facility · case rate · outpatient | 7 | $138 | $139 | $5 | 4% | — | $132 – $157 |
| 17 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $126 | $128 | $4 | 3% | — | $126 – $138 |
| 18 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $434 | $434 | — | — | — | $434 – $434 |
| 19 | Medica fee schedule · outpatient · +3 other terms | 5 | $259 | $188 | $53 | 28% | — | $123 – $259 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $50k | $35.8k | $22.4k | 63% | — | $366 – $50k |
| 21 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $366 | $367 | $109 | 30% | — | $152 – $523 |
| 22 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $152 | $152 | — | — | — | $152 – $152 |
| 23 | Wellmark facility · case rate · outpatient | 3 | $512 | $450 | $142 | 32% | — | $209 – $566 |
| 24 | Excellus fee schedule · outpatient · +4 other terms | 2 | $324 | $322 | $44 | 14% | — | $198 – $338 |
| 25 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 2 | $311 | $311 | — | — | — | $311 – $311 |
← Hospitals reporting HCPCS D5730 · Snapshot 20261112T124536Z-e251e855