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
$3
Average
$4.6k
Median
$4.1k
High
$13.8k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 2.0× 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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39 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $3.9k | $4.4k | $1.6k | 36% | — | $2.0k – $6.9k |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 3 | $5.3k | $5.2k | $1.6k | 31% | — | $3.1k – $7.3k |
| 3 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $3.8k | $4.3k | $1.5k | 34% | — | $2.0k – $6.5k |
| 4 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 5 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 6 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 2 | $4.1k | $4.6k | $1.6k | 35% | — | $3.1k – $7.0k |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $173 | $246 | $102 | 42% | — | $173 – $390 |
| 10 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $3.7k | $4.4k | $1.5k | 35% | — | $2.2k – $6.4k |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 13 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $3.4k | $3.6k | $938 | 26% | — | $1.5k – $5.1k |
| 16 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $7.1k | $6.8k | $1.9k | 27% | — | $4.4k – $8.9k |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 21 | Newton Medical Center Newton, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 22 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 23 | Paoli Hospital Paoli, PA facility · fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 24 | Riddle Memorial Hospital Media, PA facility · fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 25 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $3.7k | $3.8k | $917 | 24% | — | $1.5k – $5.1k |
← Payers reporting HCPCS G0330 · Snapshot 20261111T120946Z-9134e7f7