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
REM ODONTOGEN CYST TO 1.25CM
Low
$1
Average
$5.5k
Median
$2.8k
High
$33.8k
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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. 47 hospitals; the 90th percentile is 143.3× 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 | $12.0k | 62% | — | $3.3k – $50k |
| 2 | Spohn Hospital Beeville Beeville, TX | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Northside Hospital, Inc. Atlanta, GA | $14.0k | $19.9k | $11.9k | 60% | — | $3.4k – $50k |
| 4 | Spohn Hospital Alice Alice, TX | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | St. Frances Cabrini Hospital Alexandria, LA | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Nationwide Children's Hospital Columbus, OH | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Santa Rosa Hospital - San Marcos San Marcos, TX | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 8 | Bellevue Medical Center Llc Bellevue, NE | $110 | $133 | $57 | 43% | — | $110 – $284 |
| 9 | St. Michael Rehabilitation Hospital Texarkana, TX | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 10 | Santa Rosa Hospital - Westover Hills San Antonio, TX | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
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