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
IMPACT TOOTH REM BONY W/COMP
Ukiah, CA
See all hospitals reporting HCPCS D7241 →Price type
Ukiah Adventist Hospital’s median price of $546 is 62% below the median hospital's median price ($1.4k), higher than 6% of the 635 hospitals reporting HCPCS D7241. 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, 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 | Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 2 | Blue Cross Blue Shield tricare blue shield-all plans fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 3 | Kaiser kaiser mcr adv fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 4 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 5 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $314 | $314 | — | — | — | $314 – $314 |
| 6 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $318 | $318 | — | — | — | $318 – $318 |
| 7 | Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 8 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 9 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $546 | $546 | — | — | — | $546 – $546 |
| 10 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 11 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $659 | $659 | — | — | — | $659 – $659 |
| 12 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $659 | $659 | — | — | — | $659 – $659 |
| 13 | Kaiser kaiser medi-cal fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 14 | Medicaid medi-cal fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
Last updated: May 24, 2026
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