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
Semi precision abutment
Low
$502
Average
$1.8k
Median
$1.8k
High
$6.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 5.1× 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.
Filter by billing methodology
Filter by billing class
31 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $664 | $664 | $6 | 1% | — | $657 – $670 |
| 4 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 2 | $650 | $650 | — | — | — | $650 – $650 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 8 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $664 | $664 | $6 | 1% | — | $657 – $670 |
| 9 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA case rate · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $925 | $925 | — | — | — | $925 – $925 |
| 12 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $925 | $925 | $84 | 9% | — | $841 – $1.0k |
| 14 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $664 | $664 | $6 | 1% | — | $657 – $670 |
| 16 | OCHSNER BAYOU LLC Raceland, LA case rate · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 17 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA case rate · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA case rate · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 19 | Ochsner American Legion Hospital, LLC Jennings, LA case rate · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 20 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 24 | St Tammany Hosptial Service District No 2 Slidell, LA case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | St Tammany Hosptial Service District No 2 Slidell, LA case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Payers reporting HCPCS D6191 · Snapshot 20261112T124536Z-e251e855