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
DENTAL ONLAY PORCELIN 3 SURF
Atlanta, TX
See all hospitals reporting HCPCS D2643 →Price type
St. Michael Hospital - Atlanta’s median price of $1.6k is 16% above the median hospital's median price ($1.4k), higher than 64% of the 452 hospitals reporting HCPCS D2643. 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, 6 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 | Humana choicecare fee schedule · outpatient | $859 | $859 | — | — | — | $859 – $859 |
| 2 | Aetna mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Bcbs Tx mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Humana choicecare network mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Molina medicare adv mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 13, 2026
See Porcelain onlay, three surfaces pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.