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.
Original text from hospital filings
Extrnl bleaching per arch
Low
$1
Average
$357
Median
$248
High
$997
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 195 hospitals; the 90th percentile is 6.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $156 | $156 | — | — | — | $156 – $156 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $131 | $131 | $41 | 31% | — | $86 – $177 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $245 | $203 | $62 | 30% | — | $85 – $245 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $123 | $247 | $196 | 79% | — | $123 – $634 |
| 6 | Spohn Hospital Beeville Beeville, TX | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Spohn Hospital Alice Alice, TX | $199 | $199 | — | — | — | $199 – $199 |
| 8 | OSF Saint Francis Medical Center Peoria, IL | $109 | $109 | — | — | — | $109 – $109 |
| 9 | Covenant Medical Center Lubbock, TX | $530 | $530 | — | — | — | $530 – $530 |
| 10 | Corewell Health Butterworth Hospital Grand Rapids, MI | $168 | $168 | $34 | 21% | — | $121 – $213 |
Ask Claude or any MCP client for HCPCS D9972 pricing at a specific hospital — see how to connect.