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
Liner compl/partial rem dent
Prices here combine facility and professional fees. See them separately →Experimental
Low
$118
Average
$1.6k
Median
$363
High
$110.6k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 108 hospitals; the 90th percentile is 11.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Regional Hospital Dover Foxcroft, ME | $216 | $216 | — | — | — | $216 – $216 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL | $126 | $127 | $8 | 6% | — | $115 – $138 |
| 3 | Gundersen Luthern Medical Center Inc La Crosse, WI | $80 | $251 | $277 | 111% | — | $80 – $809 |
| 4 | Fairview Hospital Cleveland, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 5 | University Medical Center of Southern Nevada Las Vegas, NV | $220 | $220 | — | — | — | $220 – $220 |
| 6 | Marymount Hospital Inc Garfield Heights, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 7 | Nationwide Children's Hospital Columbus, OH | $1.5k | $1.4k | $168 | 12% | — | $993 – $1.5k |
| 8 | Medina Hospital Medina, OH | $1.5k | $1.5k | $59 | 4% | — | $1.4k – $1.6k |
| 9 | Shore Health Services Inc. Onancock, VA | $288 | $293 | $6 | 2% | — | $288 – $303 |
| 10 | Hmh Hospitals Corporation Hackensack, NJ | $765 | $765 | — | — | — | $765 – $765 |
Ask Claude or any MCP client for HCPCS D5765 pricing at a specific hospital — see how to connect.