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
DENT ANESTHESIA W/O SURGERY
Tehachapi, CA
See all hospitals reporting HCPCS D9210 →Price type
Adventist Health Medical Center Tehachapi’s median price of $29 is 31% below the median hospital's median price ($42), higher than 30% of the 244 hospitals reporting HCPCS D9210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $12.27 | $12.27 | $12.27 – $12.27 |
| 2 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $13.80 | $13.80 | $13.80 – $13.80 |
| 3 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $14.50 | $14.50 | $14.50 – $14.50 |
| 4 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $15.06 | $15.06 | $15.06 – $15.06 |
| 5 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $16.73 | $16.73 | $16.73 – $16.73 |
| 6 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $22.65 | $22.65 | $22.65 – $22.65 |
| 7 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $29.00 | $29.00 | $29.00 – $29.00 |
| 8 | Medicaid medi-cal fee schedule · outpatient | $29.00 | $29.00 | $29.00 – $29.00 |
| 9 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $304.25 | $304.25 | $304.25 – $304.25 |
| 10 | Kaiser kaiser medicare ip/op only fee schedule · outpatient | $304.25 | $304.25 | $304.25 – $304.25 |
| 11 | Kaiser kaiser ip/op only- all other plans fee schedule · outpatient | $523.31 | $523.31 | $523.31 – $523.31 |
Last updated: May 21, 2026
See Dental anesthesia without surgery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.