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
$70
Average
$1.3k
Median
$794
High
$4.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 10.1× 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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24 hospital rates
iThe hospitals that file a First Health 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 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $676 | $676 | — | — | — | $676 – $676 |
| 3 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $849 | $849 | — | — | — | $849 – $849 |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $849 | $849 | — | — | — | $849 – $849 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 9 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 2 | $436 | $436 | $129 | 29% | — | $308 – $565 |
| 10 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $436 | $436 | $129 | 29% | — | $308 – $565 |
| 11 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 15 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 16 | The University of Tennessee Medical Center Knoxville, TN professional · other · both | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 17 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA other · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 19 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | University Health Truman Medical Center Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 21 | University Medical Center of Southern Nevada Las Vegas, NV fee schedule · outpatient | 1 | $383 | $383 | $56 | 15% | — | $327 – $439 |
| 22 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $913 | $913 | — | — | — | $913 – $913 |
| 23 | Upstate University Hospital Syracuse, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $913 | $913 | — | — | — | $913 – $913 |
| 24 | WILLITS HOSPITAL INC Willits, CA percent of total billed charges · outpatientfrom % of charges | 1 | $659 | $659 | — | — | — | $659 – $659 |
← Payers reporting HCPCS D7241 · Snapshot 20261112T124536Z-e251e855