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
Facility Svs Dental Rehab
Low
$563
Average
$1.6k
Median
$978
High
$3.8k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 5.0× 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.
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41 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $563 | $563 | — | — | 1–10 | $563 – $563 |
| 2 | St Tammany Hosptial Service District No 2 Slidell, LA case rate · outpatient | 1 | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 3 | University Hospital & Clinics, Inc. Lafayette, LA case rate · outpatient | 1 | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 4 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 5 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $978 | $978 | — | — | — | $978 – $978 |
| 7 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $978 | $978 | — | — | — | $978 – $978 |
| 8 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 10 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 12 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA case rate · outpatient | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 13 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA case rate · outpatient | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 14 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA case rate · outpatient | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 15 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | KAPLAN GENERAL HOSPITAL, INC ST, LA case rate · outpatient | 1 | $753 | $753 | — | — | — | $753 – $753 |
| 21 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA case rate · outpatient | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 22 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 23 | Newton Medical Center Newton, NJ other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 24 | OCHSNER BAYOU LLC Raceland, LA case rate · outpatient | 1 | $775 | $775 | — | — | — | $775 – $775 |
| 25 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA case rate · outpatient | 1 | $797 | $797 | — | — | — | $797 – $797 |
← Payers reporting HCPCS G0330 · Snapshot 20261111T120946Z-9134e7f7