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
$584
Average
$1.6k
Median
$660
High
$22k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3.5× 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.
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35 hospital rates
iThe hospitals that file a Medicare 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Boston Medical Center Boston, MA other · both | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
| 2 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $620 | $620 | — | — | 1–10 | $620 – $620 |
| 3 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $620 | $620 | — | — | 1–10 | $620 – $620 |
| 4 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $793 | $793 | $118 | 15% | — | $675 – $911 |
| 5 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 6 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 7 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 8 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 9 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 10 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | HealthAlliance Hospital Kingston, NY facility · fee schedule · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | MVHS, Inc. Utica, NY other · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 13 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $22k | $22k | — | — | — | $22k – $22k |
| 14 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $2.4k | $2.4k | $1.6k | 67% | — | $803 – $4.0k |
| 15 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 18 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 20 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both | 1 | $616 | $616 | — | — | — | $616 – $616 |
| 21 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both | 1 | $616 | $616 | — | — | — | $616 – $616 |
| 22 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC other · both | 1 | $656 | $656 | — | — | — | $656 – $656 |
| 23 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC other · both | 1 | $619 | $619 | — | — | — | $619 – $619 |
| 24 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $658 | $658 | — | — | — | $658 – $658 |
| 25 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $616 | $616 | — | — | — | $616 – $616 |
← Payers reporting HCPCS D7140 · Snapshot 20261111T120946Z-9134e7f7