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
Pontic-indirect resin based
Low
$248
Average
$1.1k
Median
$573
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 6.3× 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 | Humana fee schedule · outpatient · +4 other terms | 70 | $1.1k | $1.5k | $853 | 59% | — | $292 – $2.5k |
| 2 | Molina facility · case rate · outpatient · +4 other terms | 30 | $1.0k | $4.3k | $19.3k | 448% | — | $207 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 22 | $272 | $602 | $595 | 99% | — | $193 – $2.8k |
| 4 | UnitedHealthcare facility · case rate · outpatient · +7 other terms | 18 | $1.5k | $7.1k | $24.7k | 349% | — | $248 – $111.7k |
| 5 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | Optum facility · case rate · outpatient | 13 | $1.4k | $1.2k | $405 | 34% | — | $236 – $1.4k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $1.1k | $1.1k | $165 | 15% | — | $579 – $1.1k |
| 9 | Highmark fee schedule · outpatient · +1 other terms | 11 | $550 | $551 | $38 | 7% | — | $394 – $886 |
| 10 | Cigna professional · fee schedule · outpatient · +3 other terms | 10 | $277 | $275 | $5 | 2% | — | $262 – $278 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $298 | $297 | $4 | 1% | — | $286 – $298 |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $273 | $277 | $9 | 3% | — | $273 – $298 |
| 13 | Medica fee schedule · outpatient · +2 other terms | 3 | $505 | $505 | — | — | — | $505 – $505 |
| 14 | Wellmark facility · case rate · outpatient | 3 | $946 | $830 | $262 | 32% | — | $386 – $1.0k |
| 15 | Medicaid facility · case rate · outpatient | 2 | $248 | $248 | — | — | — | $248 – $248 |
| 16 | Bcbs Id professional · fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 17 | Bcbs Mn fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Bcbs Nv fee schedule · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 19 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $766 | $766 | — | — | — | $766 – $766 |
| 20 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $410 | $46 | 11% | — | $364 – $455 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 22 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $766 | $766 | — | — | — | $766 – $766 |
| 23 | Healthpartners facility · fee schedule · outpatient | 1 | $836 | $836 | — | — | — | $836 – $836 |
| 24 | Regence facility · fee schedule · outpatient | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 25 | WellCare facility · case rate · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
← Hospitals reporting HCPCS D6205 · Snapshot 20261112T124536Z-e251e855