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
Surg Proc Isolat Tooth W/rubr Dam
Anahuac, TX
See all hospitals reporting HCPCS D3910 →Price type
Chambers Health’s median price of $118 is 89% below the median hospital's median price ($1.1k), higher than 7% of the 517 hospitals reporting HCPCS D3910. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 2 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
Last updated: Aug 6, 2026
See Tooth isolation with rubber dam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.