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 adolescent
Low
$1
Average
$4.1k
Median
$2.1k
High
$50k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 134 hospitals; the 90th percentile is 5.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $1.1k | $1.7k | $1.3k | 74% | — | $800 – $3.9k |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $1.8k | $1.5k | $366 | 24% | — | $788 – $1.8k |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $673 | $1.9k | $2.0k | 102% | — | $673 – $5.8k |
| 6 | Covenant Medical Center Lubbock, TX | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $598 | $598 | — | — | — | $598 – $598 |
| 8 | Vhs Of Arrowhead, Inc Surprise, AZ | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | University Medical Center of Southern Nevada Las Vegas, NV | $813 | $823 | $63 | 8% | — | $813 – $1.2k |
| 10 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ | $3.2k | $3.1k | $513 | 17% | — | $2.1k – $3.5k |
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