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
Low
$305
Average
$829
Median
$831
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 4.1× 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 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $547 | $547 | $40 | 7% | — | $508 – $587 |
| 2 | Cigna professional · percent of total billed charges · outpatientfrom % of charges | 1 | $960 | $960 | — | — | — | $960 – $960 |
| 3 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Optum professional · percent of total billed charges · outpatientfrom % of charges | 1 | $664 | $664 | $72 | 11% | — | $563 – $728 |
| 6 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 7 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | — | $333 – $333 |
← Hospitals reporting HCPCS D5877 · Snapshot 20261113T090226Z-3ce6c0b8