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
$179
Average
$1.0k
Median
$746
High
$2.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 7.5× 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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39 hospital rates
iThe hospitals that file a Cigna 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 percent of total billed charges · outpatientfrom % of charges | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $746 | $746 | — | — | — | $746 – $746 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $987 | $987 | — | — | — | $987 – $987 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 5 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $348 | $348 | — | — | — | $348 – $348 |
| 8 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 9 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 10 | Duke University Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 11 | Duke University Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 12 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 13 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 14 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 15 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $861 | $861 | — | — | — | $861 – $861 |
| 16 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 17 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $314 | $314 | — | — | — | $314 – $314 |
| 19 | Mary Imogene Bassett Hospital Cooperstown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 20 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 21 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 22 | Nationwide Children's Hospital Columbus, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | $972 | 36% | — | $1.7k – $3.7k |
| 24 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | $752 | 36% | — | $1.3k – $2.8k |
| 25 | Penn State Health Lancaster Medical Center Lancaster, PA percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | $972 | 36% | — | $1.7k – $3.7k |
← Payers reporting HCPCS D7880 · Snapshot 20261112T124536Z-e251e855