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 Blue Cross Blue Shield 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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76 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $98.11 | $92.94 – $103.27 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $304.25 | $304.25 – $304.25 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $82.61 | $75.72 – $89.50 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $278.92 | $278.92 – $278.92 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $123.51 | $67.66 – $152.04 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $172.76 | $111.30 – $250.43 |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $148.94 | $148.94 – $148.94 |
| 8 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $148.94 | $148.94 – $148.94 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $148.94 | $148.94 – $148.94 |
| 10 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $0.74 | $0.29 – $1.00 |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $76.50 | $76.50 – $76.50 |
| 12 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $115.47 | $115.47 – $115.47 |
| 13 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $118.22 | $114.99 – $121.44 |
| 14 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $89.35 | $89.35 – $89.35 |
| 15 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $147.02 | $143.72 – $150.31 |
| 16 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $174.49 | $111.38 – $206.05 |
| 17 | Duke University Hospital Durham, NC professional · fee schedule · inpatient | 1 | $63.44 | $63.44 – $63.44 |
| 18 | Duke University Hospital Durham, NC professional · other · outpatient | 1 | $850.00 | $850.00 – $850.00 |
| 19 | Duke University Hospital Raleigh, NC professional · fee schedule · inpatient | 1 | $63.44 | $63.44 – $63.44 |
| 20 | Duke University Hospital Raleigh, NC professional · other · outpatient | 1 | $850.00 | $850.00 – $850.00 |
| 21 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $388.78 | $388.78 – $388.78 |
| 22 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $388.78 | $388.78 – $388.78 |
| 23 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $140.39 | $140.39 – $140.39 |
| 24 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $140.39 | $140.39 – $140.39 |
| 25 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $140.39 | $140.39 – $140.39 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7