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
$126
Average
$1.9k
Median
$1.5k
High
$7.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 7.2× 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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74 hospital rates
iThe hospitals that file a Tricare 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 5 | Boston Medical Center Boston, MA other · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $628 | $628 | — | — | — | $628 – $628 |
| 9 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $628 | $628 | — | — | — | $628 – $628 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $657 | $657 | — | — | — | $657 – $657 |
| 15 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $611 | $611 | — | — | — | $611 – $611 |
| 16 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 17 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 18 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $839 | $839 | — | — | — | $839 – $839 |
| 21 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $767 | $767 | — | — | — | $767 – $767 |
← Payers reporting HCPCS D7140 · Snapshot 20261111T120946Z-9134e7f7