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
HB Dental Case Mngmt Special Healthcare
Low
$12
Average
$108
Median
$42
High
$2.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 12.4× 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.
Filter by billing methodology
Filter by billing class
56 hospital rates
iThe hospitals that file a Aetna 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $120 | $128 | $16 | 13% | — | $113 – $150 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $47 | $47 | $0 | 1% | — | $47 – $48 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 9 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Cheshire Medical Center Keene, NH facility · case rate · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 11 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $120 | $128 | $16 | 13% | — | $113 – $150 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $47 | $47 | $0 | 1% | — | $47 – $48 |
| 16 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 17 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 3 | $18 | $21 | $4 | 21% | — | $18 – $27 |
| 22 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
← Payers reporting HCPCS D9997 · Snapshot 20261111T120946Z-9134e7f7