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 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.
Filter by billing methodology
Filter by billing class
115 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $50.62 | $50.62 – $50.62 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 3 | $126.40 | $123.31 – $130.32 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $65.99 | $63.68 – $67.14 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $65.99 | $63.68 – $67.14 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $50.73 | $50.73 – $50.73 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $138.18 | $123.35 – $153.00 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $50.73 | $50.73 – $50.73 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 3 | $65.99 | $63.68 – $67.14 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 3 | $65.99 | $63.68 – $67.14 |
| 10 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $50.05 | $50.05 – $50.05 |
| 11 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $90.32 | $90.32 – $90.32 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $55.47 | $55.47 – $55.47 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $56.68 | $56.68 – $56.68 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $59.05 | $59.05 – $59.05 |
| 15 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $360.87 | $360.87 – $360.87 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $50.73 | $50.73 – $50.73 |
| 17 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $102.39 | $102.39 – $102.39 |
| 18 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 1 | $356.80 | $356.80 – $356.80 |
| 19 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $223.32 | $223.32 – $223.32 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $47.04 | $47.04 – $47.04 |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 3 | $123.56 | $113.03 – $130.32 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $175.73 | $175.73 – $175.73 |
| 23 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $320.57 | $320.57 – $320.57 |
| 24 | Duke Regional Hospital Durham, NC professional · fee schedule · inpatient | 2 | $92.94 | $65.18 – $120.70 |
| 25 | Duke Regional Hospital Durham, NC professional · fee schedule · outpatient | 2 | $92.94 | $65.18 – $120.70 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7