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
IMPACT TOOTH REM BONY W/COMP
Tehachapi, CA
See all hospitals reporting HCPCS D7241 →Price type
Adventist Health Medical Center Tehachapi’s median price of $475 is 67% below the median hospital's median price ($1.4k), higher than 6% of the 635 hospitals reporting HCPCS D7241. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 2 | Kaiser kaiser medicare ip/op only fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 3 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 4 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $392 | $392 | — | — | — | $392 – $392 |
| 5 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 6 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $428 | $428 | — | — | — | $428 – $428 |
| 7 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 8 | Kaiser kaiser ip/op only- all other plans fee schedule · outpatient | $523 | $523 | — | — | — | $523 – $523 |
| 9 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $644 | $644 | — | — | — | $644 – $644 |
| 10 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 11 | Medicaid medi-cal fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 12 | Oscar oscar health plan- all plans other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: May 21, 2026
See Complicated removal of fully bony impacted tooth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.