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
Limited dental tx primary
Low
$61
Average
$1.9k
Median
$1.4k
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 7.5× 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 | Molina facility · case rate · outpatient · +4 other terms | 29 | $1.5k | $4.9k | $19.5k | 394% | — | $964 – $111.7k |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 22 | $943 | $1.3k | $978 | 75% | — | $324 – $4.3k |
| 3 | UnitedHealthcare professional · fee schedule · outpatient · +7 other terms | 19 | $864 | $1.1k | $397 | 35% | — | $551 – $2.0k |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 6 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.3k | $160 | 12% | — | $916 – $1.4k |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 11 | $3.2k | $3.0k | $819 | 28% | — | $505 – $3.3k |
| 8 | Humana fee schedule · outpatient · +4 other terms | 11 | $2.1k | $1.8k | $560 | 32% | — | $644 – $2.2k |
| 9 | Cigna professional · fee schedule · outpatient · +2 other terms | 10 | $503 | $481 | $31 | 7% | — | $434 – $503 |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 10 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $1.2k | $1.2k | $15 | 1% | — | $1.1k – $1.2k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $1.1k | $1.1k | $34 | 3% | — | $1.1k – $1.2k |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $889 | $889 | — | — | — | $889 – $889 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $907 | $907 | — | — | — | $907 – $907 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $3.7k | $3.2k | $1.0k | 32% | — | $1.5k – $4.1k |
| 17 | Medicaid facility · case rate · outpatient | 2 | $964 | $964 | — | — | — | $964 – $964 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 21 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $168 | 11% | — | $1.3k – $1.7k |
| 22 | Bcbs Vt professional · fee schedule · outpatient | 1 | $836 | $836 | — | — | — | $836 – $836 |
| 23 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 24 | Regence facility · fee schedule · outpatient | 1 | $894 | $894 | — | — | — | $894 – $894 |
| 25 | Tricare professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
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