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
Extraction erupted tooth/exr
Devils Lake, ND
See all hospitals reporting HCPCS D7140 →Price type
Altru Hospital Devils Lake’s median price of $771 is 39% below the median hospital's median price ($1.3k), higher than 32% of the 796 hospitals reporting HCPCS D7140. 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, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $903 | $903 | $132 | 15% | — | $771 – $1.0k |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $941 | $941 | $248 | 26% | — | $694 – $1.2k |
| 9 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: Mar 1, 2026
See Removal of an erupted tooth or exposed root pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.