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
Osseous surg 1 to 3 teeth
Duluth, MN
See all hospitals reporting HCPCS D4261 →Price type
Aspirus St. Luke’s Hospital’s median price of $4.0k is 12% above the median hospital's median price ($3.5k), higher than 66% of the 673 hospitals reporting HCPCS D4261. 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, 9 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 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Anthem anthem medicare advantage plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Healthpartners healthpartners medicare advantage plans fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Aetna medicare advantage esa fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | Humana humana medicare ppo/pos/hmo network plans fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | Anthem anthem blue commercial plans fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 8 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 9 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
Last updated: Apr 1, 2026
See Bone surgery on one to three teeth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.