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
ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS
The 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.
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114 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $85.20 | $85.20 – $85.20 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $170.00 | $150.00 – $200.00 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $56.74 | $56.74 – $56.74 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $78.57 | $78.57 – $78.57 |
| 5 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $102.15 | $102.15 – $102.15 |
| 6 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $127.63 | $126.39 – $128.87 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $56.74 | $56.74 – $56.74 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $96.60 | $96.60 – $96.60 |
| 9 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $34.36 | $34.36 – $34.36 |
| 10 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $357.33 | $357.33 – $357.33 |
| 11 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $101.00 | $101.00 – $101.00 |
| 12 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $56.74 | $56.74 – $56.74 |
| 13 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $41.92 | $41.92 – $41.92 |
| 14 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $97.73 | $97.73 – $97.73 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $170.00 | $150.00 – $200.00 |
| 16 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $210.88 | $210.88 – $210.88 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $49.64 | $49.64 – $49.64 |
| 18 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $127.63 | $126.39 – $128.87 |
| 19 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $1,159 | $1,159 – $1,159 |
| 20 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $155.08 | $155.08 – $155.08 |
| 21 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $320.57 | $320.57 – $320.57 |
| 22 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 3 | $63.53 | $56.00 – $78.60 |
| 23 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 3 | $63.53 | $56.00 – $78.60 |
| 24 | Duke University Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 3 | $63.53 | $56.00 – $78.60 |
| 25 | Duke University Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 3 | $63.53 | $56.00 – $78.60 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7