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
Surg exp root surf premolar
Saint Louis, MO
See all hospitals reporting HCPCS D3502 →Price type
SSM-SLUH, Inc.’s median price of $828 is 47% below the median hospital's median price ($1.6k), higher than 25% of the 699 hospitals reporting HCPCS D3502. 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, 12 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 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 3 | Humana medicare managed care plan fee schedule · outpatient | $659 | $659 | — | — | — | $659 – $659 |
| 4 | Aetna advantra medicare managed care plan fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 5 | Oscar exchange fee schedule · outpatient | $777 | $777 | — | — | — | $777 – $777 |
| 6 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $815 | $922 | $346 | 37% | — | $493 – $1.5k |
| 7 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $832 | $945 | $352 | 37% | — | $504 – $1.6k |
| 8 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $832 | $972 | $359 | 37% | — | $504 – $1.6k |
| 9 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $1.2k | $1.2k | $448 | 39% | — | $543 – $1.7k |
| 10 | UnitedHealthcare employee fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | UnitedHealthcare non-ppo other commercial plan fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | UnitedHealthcare options ppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Apr 1, 2026
See Tooth root exposure surgery on a premolar pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.