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 Anthem 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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43 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $1,754 | $911.48 – $2,315 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $808.62 | $808.62 – $808.62 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $588.00 | $588.00 – $588.00 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 10 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $722.43 | $722.43 – $722.43 |
| 11 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $588.00 | $588.00 – $588.00 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 13 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $911.48 | $911.48 – $911.48 |
| 14 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $654.60 | $654.60 – $654.60 |
| 15 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $588.00 | $588.00 – $588.00 |
| 16 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $108,448 | $108,448 – $108,448 |
| 18 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $214.40 | $214.40 – $214.40 |
| 19 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 20 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 21 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 22 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 23 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $588.00 | $588.00 – $588.00 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 11 | $1,331 | $981.08 – $2,131 |
| 25 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $588.00 | $588.00 – $588.00 |
← Payers reporting HCPCS D6781 · Snapshot 20261108T055240Z-43b7dac7