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
$516
Average
$2.0k
Median
$1.5k
High
$11.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +14 other terms | 236 | $1.6k | $2.9k | $4.1k | 142% | — | $79 – $33.6k |
| 2 | Humana fee schedule · outpatient · +15 other terms | 170 | $1.6k | $1.5k | $1.0k | 70% | — | $1 – $8.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 168 | $1.3k | $1.6k | $2.8k | 172% | — | $152 – $48.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 159 | $1.1k | $1.9k | $1.9k | 105% | — | $1 – $13.2k |
| 5 | Cigna facility · fee schedule · outpatient · +12 other terms | 92 | $1.8k | $2.7k | $2.4k | 88% | — | $588 – $9.4k |
| 6 | Molina fee schedule · outpatient · +9 other terms | 76 | $1.2k | $1.1k | $498 | 44% | — | $1 – $2.7k |
| 7 | WellCare fee schedule · outpatient · +5 other terms | 74 | $1.6k | $1.8k | $1.1k | 62% | — | $595 – $4.3k |
| 8 | Ambetter facility · fee schedule · outpatient · +2 other terms | 50 | $1.4k | $2.4k | $1.4k | 57% | — | $777 – $4.3k |
| 9 | Anthem facility · fee schedule · outpatient · +11 other terms | 44 | $2.3k | $3.0k | $2.3k | 78% | — | $153 – $8.9k |
| 10 | Devoted fee schedule · outpatient · +3 other terms | 38 | $1.2k | $1.1k | $548 | 52% | — | $601 – $1.8k |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 35 | $1.4k | $1.3k | $951 | 71% | — | $152 – $4.3k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 26 | $1.9k | $1.9k | $1.1k | 60% | — | $584 – $4.4k |
| 13 | Oscar facility · fee schedule · outpatient · +6 other terms | 25 | $1.9k | $2.1k | $1.5k | 73% | — | $911 – $4.7k |
| 14 | Optum fee schedule · outpatient · +6 other terms | 24 | $1.3k | $1.1k | $534 | 49% | — | $587 – $2.4k |
| 15 | Bcbs Tx fee schedule · outpatient · +1 other terms | 23 | $1.6k | $1.6k | $46 | 3% | — | $1.6k – $1.7k |
| 16 | Regence facility · fee schedule · outpatient · +2 other terms | 21 | $693 | $1.6k | $1.8k | 112% | — | $655 – $6.8k |
| 17 | Tricare fee schedule · outpatient · +4 other terms | 17 | $628 | $1.7k | $1.9k | 109% | — | $587 – $5.1k |
| 18 | Caresource fee schedule · outpatient · +6 other terms | 16 | $988 | $1.7k | $1.4k | 83% | — | $630 – $4.3k |
| 19 | MultiPlan fee schedule · outpatient · +8 other terms | 14 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Highmark fee schedule · outpatient · +2 other terms | 13 | $2.1k | $2.2k | $796 | 37% | — | $480 – $4.1k |
| 21 | Bcbs Nj fee schedule · outpatient | 12 | $1.9k | $3.9k | $2.6k | 67% | — | $1.8k – $8.0k |
| 22 | Medica facility · fee schedule · outpatient · +3 other terms | 11 | $1.6k | $1.2k | $665 | 56% | — | $101 – $2.0k |
| 23 | Healthpartners facility · fee schedule · outpatient · +4 other terms | 10 | $1.7k | $2.0k | $902 | 46% | — | $1.6k – $4.7k |
| 24 | Ucare facility · fee schedule · outpatient | 10 | $1.6k | $1.3k | $437 | 33% | — | $705 – $1.8k |
| 25 | Medical Mutual fee schedule · outpatient · +2 other terms | 9 | $4.6k | $4.7k | $522 | 11% | — | $3.9k – $5.3k |
← Hospitals reporting HCPCS D7241 · Snapshot 20261112T124536Z-e251e855