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 Molina 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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39 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $365.71 | $365.71 – $365.71 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $365.71 | $365.71 – $365.71 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $278.58 | $278.58 – $278.58 |
| 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 | $758.55 | $758.55 – $758.55 |
| 11 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $416.35 | $416.35 – $416.35 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 13 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $690.32 | $487.28 – $1,096 |
| 14 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $111,702 | $111,702 – $111,702 |
| 16 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $477.00 | $477.00 – $477.00 |
| 17 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $214.40 | $214.40 – $214.40 |
| 18 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $214.40 | $214.40 – $214.40 |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $315.01 | $307.32 – $322.69 |
| 20 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $307.32 | $307.32 – $307.32 |
| 21 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 22 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
| 23 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $690.74 | $690.74 – $690.74 |
| 24 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $322.69 | $322.69 – $322.69 |
| 25 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $1,502 | $1,502 – $1,502 |
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