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
Place device impacted tooth
Low
$50
Average
$2.6k
Median
$560
High
$27.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 39.3× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +8 other terms | 71 | $540 | $536 | $373 | 70% | — | $69 – $1.8k |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 69 | $1.7k | $4.3k | $5.7k | 135% | — | $75 – $33.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 30 | $611 | $2.6k | $3.6k | 139% | — | $0 – $13.2k |
| 4 | Molina facility · case rate · outpatient · +9 other terms | 30 | $1.5k | $4.7k | $19.2k | 407% | — | $207 – $111.7k |
| 5 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 27 | $631 | $564 | $521 | 92% | — | $45 – $1.7k |
| 6 | Cigna facility · fee schedule · outpatient · +8 other terms | 20 | $3.2k | $3.8k | $1.6k | 43% | — | $241 – $9.4k |
| 7 | Anthem professional · fee schedule · outpatient · +10 other terms | 16 | $122 | $252 | $224 | 89% | — | $101 – $926 |
| 8 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 9 | Optum facility · case rate · outpatient · +3 other terms | 13 | $1.4k | $1.3k | $185 | 14% | — | $845 – $1.4k |
| 10 | Highmark fee schedule · outpatient · +4 other terms | 11 | $167 | $162 | $258 | 160% | — | $85 – $1.1k |
| 11 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Oscar facility · fee schedule · outpatient · +4 other terms | 8 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | Aetna Better Health facility · case rate · outpatient · +3 other terms | 7 | $1.1k | $1.1k | $37 | 4% | — | $927 – $1.1k |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +5 other terms | 7 | $978 | $991 | $31 | 3% | — | $978 – $1.1k |
| 15 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Tricare facility · fee schedule · outpatient · +3 other terms | 6 | $50k | $41.8k | $18.4k | 44% | — | $530 – $50k |
| 17 | Medica fee schedule · outpatient · +2 other terms | 5 | $351 | $254 | $73 | 29% | — | $162 – $351 |
| 18 | Kaiser fee schedule · outpatient · +3 other terms | 4 | $948 | $899 | $745 | 83% | — | $152 – $1.9k |
| 19 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 3 | $192 | $162 | $63 | 39% | — | $74 – $221 |
| 20 | Wellmark facility · case rate · outpatient · +1 other terms | 3 | $3.0k | $2.7k | $839 | 32% | — | $1.2k – $3.3k |
| 21 | Bcbs La percent of total billed charges · outpatientfrom % of charges | 2 | $363 | $363 | — | — | — | $363 – $363 |
| 22 | Excellus fee schedule · outpatient · +2 other terms | 2 | $172 | $177 | $151 | 85% | — | $45 – $378 |
| 23 | First Health other · outpatient · +8 other terms | 2 | $372 | $372 | — | — | — | $372 – $372 |
| 24 | MultiPlan other · outpatient · +6 other terms | 2 | $508 | $508 | — | — | — | $508 – $508 |
| 25 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $282 | $282 | — | — | — | $282 – $282 |
← Hospitals reporting HCPCS D7283 · Snapshot 20261112T124536Z-e251e855