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
Bridge porcelain nobel metal
Low
$188
Average
$1.2k
Median
$849
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 6.1× 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 | Humana fee schedule · outpatient · +6 other terms | 74 | $1.6k | $2.0k | $1.3k | 63% | — | $1 – $3.8k |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 30 | $1.1k | $4.3k | $19.3k | 444% | — | $256 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +7 other terms | 25 | $392 | $782 | $822 | 105% | — | $79 – $4.0k |
| 4 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 24 | $781 | $740 | $258 | 35% | — | $179 – $1.5k |
| 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 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 15 | $886 | $868 | $108 | 12% | — | $637 – $1.1k |
| 8 | Optum facility · case rate · outpatient · +3 other terms | 13 | $1.4k | $1.2k | $385 | 32% | — | $292 – $1.4k |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 11 | $1.3k | $1.3k | $228 | 18% | — | $579 – $1.3k |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 11 | $653 | $654 | $47 | 7% | — | $487 – $1.1k |
| 11 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $382 | $381 | $5 | 1% | — | $373 – $389 |
| 12 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $188 | $188 | — | — | — | $188 – $188 |
| 13 | Aetna Better Health facility · case rate · outpatient | 7 | $369 | $367 | $5 | 1% | — | $353 – $369 |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $338 | $342 | $11 | 3% | — | $338 – $369 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 5 | $697 | $665 | $232 | 35% | — | $449 – $1.0k |
| 16 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $381 | $381 | — | — | — | $381 – $381 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $1.2k | $1.0k | $324 | 32% | — | $477 – $1.3k |
| 18 | Excellus fee schedule · outpatient · +1 other terms | 2 | $1.4k | $1.4k | $191 | 14% | — | $865 – $1.5k |
| 19 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $1.0k | $1.0k | $295 | 29% | — | $722 – $1.3k |
| 20 | Medicaid facility · case rate · outpatient | 2 | $307 | $307 | — | — | — | $307 – $307 |
| 21 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $722 | $722 | — | — | — | $722 – $722 |
| 22 | Tricare facility · fee schedule · outpatient | 2 | $849 | $849 | — | — | — | $849 – $849 |
| 23 | Bcbs Id professional · fee schedule · outpatient | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 24 | Bcbs Mn fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Bcbs Nv fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
← Hospitals reporting HCPCS D6242 · Snapshot 20261112T124536Z-e251e855