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
Crown 3/4 cast based metal
The 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.
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59 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $1,360 | $1,200 – $1,600 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $656.27 | $656.27 – $656.27 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $1,025 | $1,025 – $1,025 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $936.32 | $927.22 – $945.42 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $656.27 | $656.27 – $656.27 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $816.50 | $816.50 – $816.50 |
| 7 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $281.09 | $281.09 – $281.09 |
| 8 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $729.65 | $729.65 – $729.65 |
| 9 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $656.27 | $656.27 – $656.27 |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $896.41 | $591.69 – $1,201 |
| 11 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $818.28 | $818.28 – $818.28 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $1,360 | $1,200 – $1,600 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $368.78 | $368.78 – $368.78 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $364.14 | $364.14 – $364.14 |
| 15 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $936.32 | $927.22 – $945.42 |
| 16 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $108.43 | $108.43 – $108.43 |
| 17 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $2,269 | $2,269 – $2,269 |
| 18 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $654.60 | $654.60 – $654.60 |
| 19 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $278.63 | $278.63 – $278.63 |
| 20 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $432.91 | $432.91 – $432.91 |
| 21 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $669.40 | $669.40 – $669.40 |
| 22 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $656.27 | $656.27 – $656.27 |
| 23 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $1,130 | $1,130 – $1,130 |
| 24 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $1,034 | $1,034 – $1,034 |
| 25 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $281.09 | $281.09 – $281.09 |
← Payers reporting HCPCS D6781 · Snapshot 20261108T055240Z-43b7dac7