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.
Generation details were not recorded for this description.
Original text from hospital filings
Complete occlusal adjustment
Low
$115
Average
$1.1k
Median
$1.1k
High
$3.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
274 hospitals; the 90th percentile is 3.5× 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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300 hospital rates
iThe hospitals that file a Humana 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $709 | $709 | — | — | — | $709 – $709 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | $176 | 9% | — | $1.7k – $2.1k |
| 7 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | $176 | 9% | — | $1.7k – $2.1k |
| 8 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 9 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 10 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 11 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 12 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 13 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 14 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 15 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 16 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 17 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · fee schedule · outpatient | 1 | $651 | $651 | — | — | — | $651 – $651 |
| 18 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 19 | Baylor Scott & White Medical Center - Irving Irving, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 20 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 21 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 22 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 23 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 24 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 25 | Baylor Scott & White Medical Center - Plano Plano, TX facility · fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
← Payers reporting HCPCS D9952 · Snapshot 20261112T124536Z-e251e855