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
D?cor or submerg erupt tooth
Danbury, CT
Negotiated rates from the hospital’s own file: 4 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 | 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 |
| 4 | UnitedHealthcare all commercial plans fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |