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
Provisional retainer crown
Low
$1
Average
$1.2k
Median
$409
High
$110.6k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 218 hospitals; the 90th percentile is 11.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $330 | $330 | — | — | — | $330 – $330 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $216 | $280 | $120 | 43% | — | $181 – $504 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $73 | $74 | $5 | 6% | — | $66 – $80 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $119 | $176 | $90 | 51% | — | $119 – $371 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $46 | $845 | $1.6k | 195% | — | $45 – $5.6k |
| 6 | Spohn Hospital Beeville Beeville, TX | $356 | $356 | — | — | — | $356 – $356 |
| 7 | Spohn Hospital Alice Alice, TX | $356 | $356 | — | — | — | $356 – $356 |
| 8 | OSF Saint Francis Medical Center Peoria, IL | $199 | $199 | — | — | — | $199 – $199 |
| 9 | Covenant Medical Center Lubbock, TX | $951 | $951 | — | — | — | $951 – $951 |
| 10 | Corewell Health Butterworth Hospital Grand Rapids, MI | $195 | $194 | $40 | 21% | — | $141 – $247 |
Ask Claude or any MCP client for HCPCS D6793 pricing at a specific hospital — see how to connect.