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 tooth
Low
$1
Average
$120
Median
$108
High
$899
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. 192 hospitals; the 90th percentile is 9.9× 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 | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $52 | $46 | $15 | 33% | — | $21 – $61 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $52 | $55 | $4 | 7% | — | $52 – $64 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $123 | $131 | $20 | 16% | — | $119 – $179 |
| 6 | Spohn Hospital Beeville Beeville, TX | $33 | $33 | — | — | — | $33 – $33 |
| 7 | Spohn Hospital Alice Alice, TX | $33 | $33 | — | — | — | $33 – $33 |
| 8 | OSF Saint Francis Medical Center Peoria, IL | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Covenant Medical Center Lubbock, TX | $88 | $88 | — | — | — | $88 – $88 |
| 10 | Corewell Health Butterworth Hospital Grand Rapids, MI | $28 | $28 | $6 | 21% | — | $20 – $35 |
Ask Claude or any MCP client for HCPCS D9973 pricing at a specific hospital — see how to connect.