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
DENT ANESTHESIA W/O SURGERY
Omaha, NE
See all hospitals reporting HCPCS D9210 →Price type
Nebraska Medical Center’s median price of $37 is 12% below the median hospital's median price ($42), higher than 46% of the 244 hospitals reporting HCPCS D9210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medica comm - all other plans fee schedule · outpatient | $16.50 | $16.50 | $16.50 – $16.50 |
| 2 | Medica medica elevate fee schedule · outpatient | $16.50 | $16.50 | $16.50 – $16.50 |
| 3 | Molina molina mcr adv percent of total billed charges · outpatientfrom % of charges | $28.35 | $28.35 | $28.35 – $28.35 |
| 4 | Blue Cross Blue Shield bcbs mcr adv percent of total billed charges · outpatientfrom % of charges | $31.50 | $31.50 | $31.50 – $31.50 |
| 5 | Blue Cross Blue Shield bcbs-all other plans percent of total billed charges · outpatientfrom % of charges | $31.50 | $31.50 | $31.50 – $31.50 |
| 6 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $41.49 | $41.49 | $41.49 – $41.49 |
| 7 | Medica medica mcaid fee schedule · outpatient | $63.00 | $63.00 | $63.00 – $63.00 |
| 8 | UnitedHealthcare uhc mcaid fee schedule · outpatient | $63.00 | $63.00 | $63.00 – $63.00 |
| 9 | Molina molina mcaid - all other plans fee schedule · outpatient | $64.89 | $64.89 | $64.89 – $64.89 |
| 10 | Aetna aetna comm - all other plans fee schedule · outpatient | $78.57 | $78.57 | $78.57 – $78.57 |
Last updated: Aug 10, 2026
See Dental anesthesia without surgery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.