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
Oral/facial photo images
Cleveland, OH
See all hospitals reporting HCPCS D0350 →Price type
Metrohealth System’s median price of $124 is 31% above the median hospital's median price ($94), higher than 76% of the 739 hospitals reporting HCPCS D0350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 | Caresource exchange facility · fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Aetna cvs exchange facility · fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Medical Mutual cle-care hmo facility · fee schedule · outpatient | $145 | $145 | $100 | 69% | — | $45 – $246 |
| 4 | Blue Cross Blue Shield anthem pathway exchange facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 5 | Medical Mutual all commercial plans facility · fee schedule · outpatient | $194 | $194 | $134 | 69% | — | $60 – $327 |
| 6 | Blue Cross Blue Shield anthem pathway tiered exchange facility · fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 7 | Blue Cross Blue Shield anthem all commercial plans facility · fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
Last updated: Apr 1, 2026
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