HCPCS D5877
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
Dup of complt dent-maxill
Prices here combine facility and professional fees. See them separately →Experimental
Low
$204
Average
$925
Median
$1.2k
High
$1.5k
Showing prices across every billing methodology. Pick one in the filter below to narrow the chart. 30 hospitals; the 90th percentile is 6.9× 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.
Filter by billing methodology
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Baptist Medical Center of the Beaches, INC Beach, FL | $218 | $220 | $14 | 7% | — | $198 – $238 |
| 2 | Fairview Hospital Cleveland, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 3 | Marymount Hospital Inc Garfield Heights, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 4 | Nationwide Children's Hospital Columbus, OH | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Medina Hospital Medina, OH | $1.5k | $1.5k | $59 | 4% | — | $1.4k – $1.6k |
| 6 | Shore Health Services Inc. Onancock, VA | $425 | $431 | $9 | 2% | — | $425 – $446 |
| 7 | Southern Baptist Hospital of Florida, INC Fleming Island, FL | $218 | $218 | $15 | 7% | — | $198 – $238 |
| 8 | Lodi Community Hospital Lodi, OH | $1.5k | $1.5k | $65 | 4% | — | $1.4k – $1.6k |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL | $198 | $210 | $20 | 10% | — | $188 – $238 |
| 10 | Cleveland Clinic Avon Hospital Avon, OH | $1.5k | $1.5k | $14 | 1% | — | $1.5k – $1.5k |
Ask Claude or any MCP client for HCPCS D5877 pricing at a specific hospital — see how to connect.