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
INTRAORAL PERIAPICAL FIRST F
Warwick, NY
See all hospitals reporting HCPCS D0220 →Price type
St Anthony Community Hospital’s median price of $109 is 17% above the median hospital's median price ($93), higher than 73% of the 760 hospitals reporting HCPCS D0220. 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, 5 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 blue cross connection/exchange facility · case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 3 | Molina affinity by molina mcr facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Cigna cigna ppo facility · case rate · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 5 | Tricare tricare facility · fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
Last updated: Jun 30, 2026
See Initial intraoral X-ray of one tooth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.