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
Intraoral place of fix dev
Low
$244
Average
$4.8k
Median
$3.8k
High
$33.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
119 hospitals; the 90th percentile is 16.5× 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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133 hospital rates
iThe hospitals that file a Aetna 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 2 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 3 | $2.6k | $2.8k | $287 | 10% | — | $2.6k – $3.2k |
| 3 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 3 | $2.6k | $2.8k | $287 | 10% | — | $2.6k – $3.2k |
| 4 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 3 | $2.6k | $2.8k | $287 | 10% | — | $2.6k – $3.2k |
| 5 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 3 | $2.6k | $2.8k | $287 | 10% | — | $2.6k – $3.2k |
| 6 | AdventHealth Porter Denver, CO fee schedule · outpatient | 3 | $2.6k | $2.8k | $287 | 10% | — | $2.6k – $3.2k |
| 7 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 8 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | $23 | 1% | — | $2.3k – $2.3k |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 13 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 15 | Chesapeake General Hospital Chesapeake, VA facility · fee schedule · outpatient | 1 | $15.9k | $15.9k | — | — | — | $15.9k – $15.9k |
| 16 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1.1k | $1.1k | $361 | 34% | — | $700 – $1.4k |
| 17 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 20 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $2.3k | $2.3k | $23 | 1% | — | $2.3k – $2.3k |
| 21 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 22 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 25 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $512 | $512 | — | — | — | $512 – $512 |
← Payers reporting HCPCS D7998 · Snapshot 20261112T124536Z-e251e855