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
APPL SLVR DIAMN FLUORIDE 38%
Waco, TX
See all hospitals reporting CPT 0792T →Price type
Ascension Providence’s median price of $23 is 56% below the median hospital's median price ($51), higher than 12% of the 237 hospitals reporting CPT 0792T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 4 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 872_blue cross blue shield myblueheath 20250101 other · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
Last updated: Jan 1, 2026
See Silver diamine fluoride dental treatment pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.