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
Intraoral con def inter plt
Low
$1
Average
$3.0k
Median
$1.7k
High
$110.6k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 150 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.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $939 | $957 | $346 | 36% | — | $488 – $1.5k |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $2.1k | $2.1k | $134 | 6% | — | $1.9k – $2.3k |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $1.7k | $1.6k | $333 | 21% | — | $879 – $1.8k |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $1.3k | $1.4k | $523 | 36% | — | $630 – $3.0k |
| 6 | Jefferson County Hospital OK Waurika, OK | $741 | $851 | $157 | 18% | — | $704 – $1.1k |
| 7 | Covenant Medical Center Lubbock, TX | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 8 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $672 | $672 | — | — | — | $672 – $672 |
| 9 | Fairview Hospital Cleveland, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 10 | Vhs Of Arrowhead, Inc Surprise, AZ | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Ask Claude or any MCP client for HCPCS D5958 pricing at a specific hospital — see how to connect.