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
REPLACEMENT RETAINER
Low
$145
Average
$413
Median
$304
High
$964
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 5.3× 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.
Filter by billing methodology
Filter by billing class
7 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $612 | $612 | — | — | — | $612 – $612 |
| 2 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $457 | $457 | — | — | — | $457 – $457 |
| 4 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 5 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $137 | $151 | $33 | 22% | — | $123 – $206 |
| 6 | The Mount Sinai Hospital New York, NY fee schedule · outpatient | 3 | $145 | $145 | — | — | — | $145 – $145 |
| 7 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $964 | $964 | — | — | — | $964 – $964 |
← Payers reporting HCPCS D8692 · Snapshot 20261112T181611Z-3fa9fb76