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.
Generation details were not recorded for this description.
Original text from hospital filings
HC Odontoplasty per Tooth
GREENVILLE, SC
See all hospitals reporting HCPCS D9971 →Price type
Prisma Health Patewood Hospital’s median price of $1.1k is 763% above the median hospital's median price ($133), higher than 91% of the 280 hospitals reporting HCPCS D9971. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 14 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 | UnitedHealthcare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $254.25 | $254.25 | $254.25 – $254.25 |
| 2 | WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $254.25 | $254.25 | $254.25 – $254.25 |
| 3 | Blue Cross Blue Shield phu hb bcbs state pmh percent of total billed charges · bothfrom % of charges | $660.40 | $660.40 | $660.40 – $660.40 |
| 4 | WellCare phu hb absolute total care medicare pmh percent of total billed charges · bothfrom % of charges | $825.50 | $825.50 | $825.50 – $825.50 |
| 5 | Aetna phu hb aetna sc preferred percent of total billed charges · bothfrom % of charges | $1,057 | $1,057 | $1,057 – $1,057 |
| 6 | Cigna phu hb cigna percent of total billed charges · bothfrom % of charges | $1,146 | $1,146 | $1,146 – $1,146 |
| 7 | Aetna phu hb aetna ppo/hmo medicare - pmh percent of total billed charges · bothfrom % of charges | $1,156 | $1,156 | $1,156 – $1,156 |
| 8 | Aetna phu hb aetna prime hmo medicare - pmh percent of total billed charges · bothfrom % of charges | $1,156 | $1,156 | $1,156 – $1,156 |
| 9 | Medcost ph hb medcost benefit services percent of total billed charges · bothfrom % of charges | $1,222 | $1,222 | $1,222 – $1,222 |
| 10 | Aetna phu hb aetna percent of total billed charges · bothfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 11 | Medcost ph hb medcost percent of total billed charges · bothfrom % of charges | $1,370 | $1,370 | $1,370 – $1,370 |
| 12 | MultiPlan ph hb multiplan percent of total billed charges · bothfrom % of charges | $1,469 | $1,469 | $1,469 – $1,469 |
| 13 | First Health phu hb aetna first health (aka rental network) percent of total billed charges · bothfrom % of charges | $1,535 | $1,535 | $1,535 – $1,535 |
| 14 | Molina phu hb 103% of medicaid - pmh percent of total billed charges · bothfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
Last updated: Mar 1, 2026
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