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
ODONTOPLASTY PER TOOTH
Sonora, CA
See all hospitals reporting HCPCS D9971 →Price type
Sonora Community Hospital’s median price of $152 is 14% above the median hospital's median price ($133), higher than 59% 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: 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 | $89.50 | $89.50 | $89.50 – $89.50 |
| 2 | UnitedHealthcare uhc select percent of total billed charges · outpatientfrom % of charges | $91.97 | $91.97 | $91.97 – $91.97 |
| 3 | UnitedHealthcare uhc jll bp percent of total billed charges · outpatientfrom % of charges | $99.29 | $99.29 | $99.29 – $99.29 |
| 4 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $104.52 | $104.52 | $104.52 – $104.52 |
| 5 | Aetna aetna - all other plans percent of total billed charges · outpatientfrom % of charges | $124.39 | $124.39 | $124.39 – $124.39 |
| 6 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $135.68 | $135.68 | $135.68 – $135.68 |
| 7 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $136.04 | $136.04 | $136.04 – $136.04 |
| 8 | Aetna aetna mcr adv fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 9 | Blue Cross Blue Shield blue shield mcare fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 10 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 11 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $152.00 | $152.00 | $152.00 – $152.00 |
| 12 | UnitedHealthcare uhc ppo percent of total billed charges · outpatientfrom % of charges | $153.90 | $153.90 | $153.90 – $153.90 |
| 13 | MultiPlan multiplan - all plans percent of total billed charges · outpatientfrom % of charges | $161.10 | $161.10 | $161.10 – $161.10 |
| 14 | Phcs phcs ppo - all plans percent of total billed charges · outpatientfrom % of charges | $161.10 | $161.10 | $161.10 – $161.10 |
| 15 | Cigna cigna ppo - all plans percent of total billed charges · outpatientfrom % of charges | $170.05 | $170.05 | $170.05 – $170.05 |
| 16 | Medicaid medi-cal fee schedule · outpatient | $179.00 | $179.00 | $179.00 – $179.00 |
Last updated: May 23, 2026
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