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
Cst bse mtl inlay 2 surfaces
Duluth, MN
See all hospitals reporting HCPCS D6604 →Price type
Aspirus St. Luke’s Hospital’s median price of $3.0k is 282% above the median hospital's median price ($772), higher than 93% of the 229 hospitals reporting HCPCS D6604. 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 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $918 | $918 | — | — | — | $918 – $918 |
| 2 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Apr 1, 2026
See Two-surface metal inlay filling pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.