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
Osseous surg 1 to 3 teeth
Edmonds, WA
See all hospitals reporting HCPCS D4261 →Price type
Swedish Edmonds’s median price of $6.0k is 70% above the median hospital's median price ($3.5k), higher than 93% of the 670 hospitals reporting HCPCS D4261. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 medicare managed care plan fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Aetna whole health other commercial plan fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 9 | Kaiser all commercial plans fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 10 | Aetna all commercial plans fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 11 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 12 | Blue Cross Blue Shield premera heritage exchange fee schedule · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 13 | Blue Cross Blue Shield regence all commercial plans fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 14 | Blue Cross Blue Shield uniform medical plan exchange fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 15 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 16 | UnitedHealthcare aco tiered/doctors plan other commercial plan fee schedule · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 17 | UnitedHealthcare all commercial plans fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
Last updated: Apr 1, 2026
See Bone surgery on one to three teeth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.