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
Occlusal orthotic appliance
Low
$1
Average
$1.3k
Median
$616
High
$8.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 10.8× 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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74 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $524 | $524 | $28 | 5% | — | $497 – $552 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $304 | $304 | — | — | — | $304 – $304 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $37 | 8% | — | $405 – $479 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $733 | $660 | $175 | 27% | — | $362 – $813 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $208 | $269 | $99 | 37% | — | $173 – $390 |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $352 | $352 | $230 | 65% | — | $122 – $582 |
| 8 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $421 | $310 | $157 | 51% | — | $87 – $421 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $421 | $310 | $157 | 51% | — | $87 – $421 |
| 10 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $616 | $616 | — | — | — | $616 – $616 |
| 12 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $321 | $272 | $69 | 26% | — | $173 – $321 |
| 13 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · fee schedule · outpatient | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Duke University Hospital Durham, NC professional · fee schedule · outpatient | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 15 | Duke University Hospital Durham, NC professional · other · inpatient | 1 | $676 | $676 | — | — | — | $676 – $676 |
| 16 | Duke University Hospital Raleigh, NC professional · fee schedule · outpatient | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 17 | Duke University Hospital Raleigh, NC professional · other · inpatient | 1 | $676 | $676 | — | — | — | $676 – $676 |
| 18 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $7.4k | $8.5k | $1.6k | 18% | — | $7.1k – $11.1k |
| 19 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $384 | $384 | — | — | — | $384 – $384 |
| 22 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $558 | $558 | — | — | — | $558 – $558 |
| 23 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $903 | $903 | — | — | — | $903 – $903 |
| 24 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $163 | $467 | $430 | 92% | — | $163 – $1.1k |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $563 | $563 | — | — | — | $563 – $563 |
← Payers reporting HCPCS D7880 · Snapshot 20261112T124536Z-e251e855