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
HC Extraction Erupted Tooth/Exr
Low
$320
Average
$1.7k
Median
$1.5k
High
$4.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 4.4× 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 | Medicare other · both · +5 other terms | 14 | $618 | $631 | $36 | 6% | 3–30 | $604 – $751 |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 214 | $1.5k | $2.2k | $3.6k | 158% | — | $39 – $33.6k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 163 | $848 | $1.1k | $954 | 83% | — | $1 – $8.3k |
| 4 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 157 | $1.1k | $1.4k | $2.8k | 195% | — | $26 – $48.9k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 150 | $926 | $1.8k | $2.0k | 111% | — | $1 – $13.2k |
| 6 | Cigna facility · fee schedule · outpatient · +19 other terms | 100 | $1.8k | $2.8k | $2.4k | 84% | — | $588 – $9.4k |
| 7 | WellCare facility · fee schedule · outpatient · +10 other terms | 86 | $1.6k | $1.7k | $2.2k | 129% | — | $586 – $22k |
| 8 | Ambetter facility · fee schedule · outpatient · +7 other terms | 67 | $1.4k | $2.4k | $1.7k | 71% | — | $668 – $9.1k |
| 9 | Molina fee schedule · outpatient · +15 other terms | 67 | $1.2k | $1.1k | $575 | 52% | — | $1 – $2.7k |
| 10 | Anthem facility · fee schedule · outpatient · +12 other terms | 49 | $1.7k | $2.3k | $2.1k | 89% | — | $2 – $7.7k |
| 11 | Kaiser case rate · both · +7 other terms | 41 | $3.4k | $3.1k | $1.7k | 57% | — | $1.3k – $6.1k |
| 12 | Devoted facility · fee schedule · outpatient · +4 other terms | 36 | $648 | $736 | $275 | 37% | — | $576 – $1.7k |
| 13 | Tricare facility · fee schedule · outpatient · +10 other terms | 32 | $1.6k | $2.4k | $2.3k | 93% | — | $555 – $7.3k |
| 14 | Oscar facility · fee schedule · outpatient · +8 other terms | 27 | $1.9k | $2.1k | $1.5k | 72% | — | $827 – $4.7k |
| 15 | Optum facility · fee schedule · outpatient · +12 other terms | 26 | $1.5k | $1.4k | $393 | 28% | — | $574 – $2.0k |
| 16 | Clover facility · fee schedule · outpatient · +2 other terms | 24 | $681 | $830 | $397 | 48% | — | $586 – $2.0k |
| 17 | Regence facility · fee schedule · outpatient · +3 other terms | 24 | $687 | $1.5k | $1.7k | 111% | — | $2 – $6.8k |
| 18 | Bcbs Tx fee schedule · outpatient · +1 other terms | 17 | $1.6k | $1.6k | $48 | 3% | — | $1.6k – $1.7k |
| 19 | Caresource facility · fee schedule · outpatient · +7 other terms | 16 | $995 | $1.1k | $446 | 41% | — | $637 – $2.6k |
| 20 | Baylor Scott White Health Plan facility · fee schedule · outpatient | 15 | $617 | $617 | $0 | 0% | — | $617 – $618 |
| 21 | MultiPlan fee schedule · outpatient · +14 other terms | 14 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 13 | $682 | $682 | $0 | 0% | — | $682 – $683 |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $1.9k | $3.9k | $2.6k | 67% | — | $1.8k – $8.0k |
| 24 | Highmark fee schedule · outpatient · +5 other terms | 12 | $1.4k | $1.4k | $1.2k | 84% | — | $86 – $4.1k |
| 25 | Medica facility · fee schedule · outpatient · +6 other terms | 12 | $1.6k | $1.6k | $1.4k | 89% | — | $22 – $5.7k |
← Hospitals reporting HCPCS D7140 · Snapshot 20261111T120946Z-9134e7f7