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
IMPACT TOOTH REM BONY W/COMP
Low
$0
Average
$3.8k
Median
$2.5k
High
$20.0k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 51 hospitals; the 90th percentile is 11.6× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Lawrenceville, GA | $14.0k | $19.4k | $11.9k | 61% | — | $4.3k – $50k |
| 2 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $602 | $981 | 163% | — | $0 – $3.5k |
| 3 | Vanderbilt University Medical Center Nashville, TN | $0 | $588 | $983 | 167% | — | $0 – $3.4k |
| 4 | Spohn Hospital Beeville Beeville, TX | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | Northside Hospital, Inc. Atlanta, GA | $14.0k | $20.0k | $11.9k | 59% | — | $4.0k – $50k |
| 6 | Spohn Hospital Alice Alice, TX | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 7 | St. Frances Cabrini Hospital Alexandria, LA | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Benefis Hospitals Inc Falls, MT | $660 | $903 | $485 | 54% | — | $660 – $1.9k |
| 9 | Nationwide Children's Hospital Columbus, OH | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Santa Rosa Hospital - San Marcos San Marcos, TX | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
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