ODONTOPLASTY PER TOOTH

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.

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Original text from hospital filings

ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS

Kaiser rates for HCPCS D9971

The hospitals that file a Kaiser 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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9 hospital rates

#		Plans
1	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	3	$335.52	$179.00 – $523.31
2	LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient	2	$165.50	$152.00 – $179.00
3	LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges	1	$73.39	$73.39 – $73.39
4	OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges	3	$23.52	$20.16 – $25.20
5	REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient	1	$375.45	$375.45 – $375.45
6	REEDLEY COMMUNITY HOSPITAL Reedley, CA percent of total billed charges · outpatientfrom % of charges	1	$89.50	$89.50 – $89.50
7	SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges	1	$89.50	$89.50 – $89.50
8	UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient	2	$229.73	$179.00 – $280.46
9	UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges	1	$143.20	$143.20 – $143.20

← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7