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
Sonora, CA
See all hospitals reporting HCPCS D9210 →Price type
Sonora Community Hospital’s median price of $41 is 3% below the median hospital's median price ($42), higher than 48% 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: 8 payers, 16 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 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $22.50 | $22.50 | $22.50 – $22.50 |
| 2 | UnitedHealthcare uhc select percent of total billed charges · outpatientfrom % of charges | $23.12 | $23.12 | $23.12 – $23.12 |
| 3 | UnitedHealthcare uhc jll bp percent of total billed charges · outpatientfrom % of charges | $24.96 | $24.96 | $24.96 – $24.96 |
| 4 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $26.28 | $26.28 | $26.28 – $26.28 |
| 5 | Aetna aetna - all other plans percent of total billed charges · outpatientfrom % of charges | $31.27 | $31.27 | $31.27 – $31.27 |
| 6 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $34.11 | $34.11 | $34.11 – $34.11 |
| 7 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $34.20 | $34.20 | $34.20 – $34.20 |
| 8 | UnitedHealthcare uhc ppo percent of total billed charges · outpatientfrom % of charges | $38.69 | $38.69 | $38.69 – $38.69 |
| 9 | MultiPlan multiplan - all plans percent of total billed charges · outpatientfrom % of charges | $40.50 | $40.50 | $40.50 – $40.50 |
| 10 | Phcs phcs ppo - all plans percent of total billed charges · outpatientfrom % of charges | $40.50 | $40.50 | $40.50 – $40.50 |
| 11 | Cigna cigna ppo - all plans percent of total billed charges · outpatientfrom % of charges | $42.75 | $42.75 | $42.75 – $42.75 |
| 12 | Medicaid medi-cal fee schedule · outpatient | $45.00 | $45.00 | $45.00 – $45.00 |
| 13 | Aetna aetna mcr adv fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 14 | Blue Cross Blue Shield blue shield mcare fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 15 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 16 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
Last updated: May 23, 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.