Tooth isolation with rubber dam at Danbury Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Isolation- tooth w rubb dam

Danbury, CT

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How this price compares nationally

Danbury Hospital’s median price of $490 is 55% below the median hospital's median price ($1.1k), higher than 16% of the 518 hospitals reporting HCPCS D3910. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D3910 at Danbury Hospital

Negotiated rates from the hospital’s own file: 3 payers, 3 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	Aetna medicare managed care plan fee schedule · outpatient	$779	$779	—	—	—	$779 – $779
2	WellCare medicare managed care plan fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
3	Cigna medicare managed care plan fee schedule · outpatient	$798	$798	—	—	—	$798 – $798

Last updated: Apr 1, 2026

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