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
I&D INTRAORAL ABSCESS-SUBLI450
Bonham, TX
See all hospitals reporting CPT 41005 →Price type
TMC Bonham Hospital’s median price of $129 is 61% below the median hospital's median price ($332), higher than 7% of the 1,581 hospitals reporting CPT 41005. 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, 14 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 | Aetna medicare percent of total billed charges · bothfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 2 | Humana medicare percent of total billed charges · bothfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 3 | UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Molina medicaid case rate · both | $120 | $114 | $16 | 14% | — | $92 – $129 |
| 5 | Superior Healthplan medicaid case rate · both | $119 | $119 | $4 | 3% | — | $115 – $123 |
| 6 | UnitedHealthcare medicaid case rate · both | $119 | $119 | $4 | 3% | — | $115 – $123 |
| 7 | Ambetter qhp percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 8 | Cigna hmo percent of total billed charges · bothfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 9 | Blue Cross Blue Shield qhp case rate · both | $251 | $251 | — | — | — | $251 – $251 |
| 10 | UnitedHealthcare managed_care case rate · both | $400 | $400 | — | — | — | $400 – $400 |
| 11 | Blue Cross Blue Shield hmo case rate · both | $480 | $480 | — | — | — | $480 – $480 |
| 12 | Blue Cross Blue Shield managed_care case rate · both | $480 | $480 | — | — | — | $480 – $480 |
| 13 | Blue Cross Blue Shield ppo case rate · both | $480 | $480 | — | — | — | $480 – $480 |
| 14 | Aetna ppo case rate · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Sep 1, 2026
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