Supplies, drugs & other prices at Cincinnati Children's Hospital Medical Center
Cincinnati, OH · every code in this section with a posted price and a Medicare benchmark.
180 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d cephalometric image (D0340) | $85.23 | $167.12 | 1.0× |
| Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) | $95.88 | $188 | 2.6× |
| Alcohol/sub misuse assess (G2011) range across 6 matching MRF lines |
$33.15–$44.37 | $65–$87 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 6 matching MRF lines |
$59.16–$78.54 | $116–$154 | varies |
| Alcohol/subs interv >30 min (G0397) range across 6 matching MRF lines |
$115.26–$153.51 | $226–$301 | varies |
| Alveoloplasty w/extract 1-3 (D7311) | $227.12 | $445.33 | 0.2× |
| Alveoplasty w/ extraction (D7310) | $232.53 | $455.95 | 0.2× |
| Amalgam 4 or > surfaces perm (D2161) | $210.36 | $412.48 | 0.3× |
| Amalgam one surface permanen (D2140) | $115.28 | $226.04 | 0.2× |
| Amalgam three surfaces perma (D2160) | $176.86 | $346.79 | 0.3× |
| Amalgam two surfaces permane (D2150) | $146.81 | $287.87 | 0.2× |
| Ant resin-based cmpst crown (D2390) | $360.63 | $707.11 | 0.6× |
| Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Facility (0657T) | $10,124.52 | $19,852 | 0.6× |
| Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments Facility (0656T) unusually low: confirm this is the full procedure |
$6,143.97 | $12,047 | 0.4× |
| Apexification/recalc final (D3353) | $374.92 | $735.13 | 0.6× |
| Apexification/recalc initial (D3351) | $262.59 | $514.88 | 0.4× |
| Apexification/recalc interim (D3352) | $195.59 | $383.50 | 0.3× |
| Apicoectomy - anterior (D3410) | $537.98 | $1,054.87 | 0.9× |
| Assessment of a patient (D0191) | $59.12 | $115.92 | 0.5× |
| Auto tissue graft 1st tooth (D4273) | $789.24 | $1,547.53 | 0.5× |
| Bhv id suprt assmt ea 15 min (0362T) | $42.33 | $83 | 1.2× |
| Bia whole body composition assessment w/i&r (0358T) | $10.71 | $21 | 0.4× |
| Bio mtrls to aid soft/os reg (D4265) | $393.63 | $771.83 | 0.6× |
| Bitewings - three images (D0273) | $40.40 | $79.21 | 0.2× |
| Bitewings four images (D0274) | $47.79 | $93.70 | 0.2× |
| Bone replce graft first site (D4263) | $463.10 | $908.04 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $69.87 | $137 | 0.7× |
| Commissure splint (D5987) | $770.03 | $1,509.86 | 1.2× |
| Comp periodontal evaluation (D0180) | $73.40 | $143.93 | 0.6× |
| Comprehensve oral evaluation (D0150) | $69.96 | $137.17 | 0.5× |
| Cone beam ct both jaws (D0383) | $243.87 | $478.17 | 2.4× |
| Cone beam ct capt & interp (D0364) | $215.79 | $423.11 | 2.1× |
| Cone beam ct capt mandible (D0381) | $236.48 | $463.68 | 2.3× |
| Cone beam ct capt maxilla (D0382) | $236.97 | $464.65 | 2.3× |
| Cone beam ct capture limited (D0380) | $220.71 | $432.77 | 2.2× |
| Cone beam ct capture tmj (D0384) | $254.70 | $499.42 | 2.5× |
| Cone beam ct interp both jaw (D0367) | $234.01 | $458.85 | 2.3× |
| Cone beam ct interprete man (D0365) | $234.01 | $458.85 | 2.3× |
| Cone beam ct interprete max (D0366) | $229.58 | $450.16 | 2.3× |
| Cone beam ct interprete tmj (D0368) | $252.74 | $495.56 | 2.5× |
| Core build-up incl any pins (D2950) | $200.02 | $392.20 | 0.3× |
| Coronectomy (D7251) | $334.02 | $654.95 | 0.2× |
| Crown porcelain w/ noble met (D2752) | $791.21 | $1,551.40 | 1.3× |
| Crown porcelain/ceramic (D2740) | $824.71 | $1,617.08 | 1.3× |
| Decor or submerg erupt tooth (D3921) | $268.01 | $525.50 | 0.4× |
| Dental bitewing single image (D0270) | $22.17 | $43.47 | 0.3× |
| Dental bitewings two images (D0272) | $34.49 | $67.62 | 0.4× |
| Dental prophylaxis adult (D1110) | $70.45 | $138.14 | 0.5× |
| Dental saliography (D0310) | $255.69 | $501.35 | 1.1× |
| Dental tmj arthrogram incl i (D0320) | $389.70 | $764.11 | 1.7× |
| Dental tomographic survey (D0322) | $339.44 | $665.57 | 3.3× |
| Diab manage trn per indiv (G0108) | $132.09 | $259 | 2.4× |
| Diab manage trn ind/group (G0109) | $64.26 | $126 | 4.0× |
| Direct refer hospital observ (G0379) | $323.34 | $634 | 0.6× |
| Dist space maint, fixed unil (D1575) | $259.63 | $509.08 | 0.4× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) | $485.52 | $952 | 0.3× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $563.04 | $1,104 | 0.3× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $561 | $1,100 | 0.1× |
| End thxpy, anterior tooth (D3310) | $558.18 | $1,094.48 | 0.9× |
| End thxpy, molar tooth (D3330) | $768.05 | $1,505.99 | 1.2× |
| End thxpy, premolar tooth (D3320) | $635.04 | $1,245.17 | 1.0× |
| Excision benign lesion>1.25c (D7411) | $488.72 | $958.27 | 0.3× |
| Exposure of unerupted tooth (D7280) | $359.64 | $705.18 | 0.6× |
| Extensv oral eval prob focus (D0160) | $108.39 | $212.52 | 0.8× |
| Extraction coronal remnants (D7111) | $104.94 | $205.76 | 0.2× |
| Extraction erupted tooth/exr (D7140) | $147.80 | $289.80 | 0.2× |
| Extraoral 2d project image (D0250) | $44.34 | $86.94 | 0.5× |
| Extraoral posterior image (D0251) | $49.27 | $96.60 | 0.6× |
| Fecal microbiota prep instil (G0455) | $228.48 | $448 | 0.3× |
| Fixed bilat space maint, man (D1517) | $299.54 | $587.33 | 0.5× |
| Fixed bilat space maint, max (D1516) | $298.06 | $584.43 | 0.5× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) range across 3 matching MRF lines |
$113.73–$1,460.13 | $223–$2,863 | varies |
| Full mouth debridement (D4355) | $138.44 | $271.45 | 0.2× |
| Gingival flap proc w/ planin (D4240) | $554.24 | $1,086.75 | 0.2× |
| Gingival irrigation per quad (D4921) | $60.90 | $119.41 | 0.5× |
| Gingivectomy/plasty 1 to 3 (D4211) | $253.23 | $496.52 | 0.1× |
| Gingivectomy/plasty 4 or mor (D4210) | $454.23 | $890.65 | 0.1× |
| Gingivectomy/plasty rest (D4212) | $218.25 | $427.94 | 0.1× |
| Gngvl flap w rootplan 1-3 th (D4241) | $461.62 | $905.14 | 0.3× |
| Gross pulpal debridement (D3221) | $169.97 | $333.27 | 0.3× |
| Guided tiss regen nonresorb (D4267) | $604 | $1,184.32 | 0.4× |
| Guided tiss regen resorble (D4266) | $506.95 | $994.01 | 0.3× |
| I&d absc intraoral soft tiss (D7510) | $181.79 | $356.45 | 0.3× |
| Impact tooth rem bony w/comp (D7241) | $405.95 | $795.98 | 0.6× |
| Impact tooth remov comp bony (D7240) | $352.25 | $690.69 | 0.6× |
| Impact tooth remov part bony (D7230) | $286.24 | $561.25 | 0.5× |
| Impact tooth remov soft tiss (D7220) | $235 | $460.78 | 0.4× |
| Incision/drain abscess intra (D7511) | $277.37 | $543.86 | 0.4× |
| Incomplete endodontic tx (D3332) | $319.24 | $625.97 | 0.5× |
| Initial preventive exam (G0402) | $343.23 | $673 | 2.6× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $478.38 | $938 | 0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) range across 3 matching MRF lines |
$510.51–$4,467.09 | $1,001–$8,759 | varies |
| Intentional replantation (D3470) | $567.54 | $1,112.83 | 0.9× |
| Internal root repair (D3333) | $255.69 | $501.35 | 0.4× |
| Intraor comprehensive series (D0210) | $98.04 | $192.23 | 0.4× |
| Intraoral occlusal film (D0240) | $29.56 | $57.96 | 0.3× |
| Intraoral periapical first (D0220) | $22.66 | $44.44 | 0.3× |
| Isolation- tooth w rubb dam (D3910) | $169.47 | $332.30 | 0.3× |
| Limit oral eval problm focus (D0140) | $59.12 | $115.92 | 0.5× |
| Mesial/distal wedge proc (D4274) | $481.82 | $944.75 | 0.8× |
| Mri hyperpolarized xenon129 (C9791) | $282.54 | $554 | 0.2× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $532.95 | $1,045 | 0.6× |
| Njx platelet plasma (0232T) | $129.03 | $253 | 0.3× |
| Non-auto graft 1st tooth (D4275) | $775.44 | $1,520.48 | 0.5× |
| Non-surg tx root canal obs (D3331) | $455.22 | $892.58 | 0.7× |
| Occ guard, hard, full arch (D9944) | $418.76 | $821.10 | 0.7× |
| Occ guard, hard, part arch (D9946) | $379.84 | $744.79 | 0.6× |
| Occ guard, soft, full arch (D9945) | $368.02 | $721.60 | 0.6× |
| Oral/facial photo images (D0350) | $51.73 | $101.43 | 0.6× |
| Osseous surg 1 to 3 teeth (D4261) | $652.28 | $1,278.98 | 0.2× |
| Osseous surgery 4 or more (D4260) likely a partial charge, not the full procedure |
$826.19 | $1,619.98 | 0.1× |
| Oth resp proc, indiv (G0238) | $92.82 | $182 | 3.3× |
| Panoramic image (D0330) | $85.23 | $167.12 | 0.4× |
| Part pulp for apexogenesis (D3222) | $210.86 | $413.45 | 0.3× |
| Pedicle soft tissue graft pr (D4270) | $652.77 | $1,279.95 | 0.4× |
| Pef bronch ablt 3d nav ebus (C8005) unusually low: confirm this is the full procedure |
$5,288.70 | $10,370 | 0.3× |
| Periodic oral evaluation (D0120) | $40.89 | $80.18 | 0.3× |
| Periodontal maint procedures (D4910) | $101.49 | $199 | 0.2× |
| Periodontal scaling & root (D4341) | $187.71 | $368.05 | 0.3× |
| Periodontal scaling 1-3teeth (D4342) | $142.87 | $280.14 | 0.2× |
| Place direct restoration (D2940) | $100.50 | $197.06 | 0.2× |
| Post 1 srfc resinbased cmpst (D2391) | $137.94 | $270.48 | 0.2× |
| Post 2 srfc resinbased cmpst (D2392) | $175.39 | $343.90 | 0.3× |
| Post 3 srfc resinbased cmpst (D2393) | $212.83 | $417.31 | 0.3× |
| Post >=4srfc resinbase cmpst (D2394) | $250.27 | $490.73 | 0.4× |
| Post and core cast + crown (D2952) | $302.49 | $593.12 | 0.5× |
| Ppps, initial visit (G0438) | $558.45 | $1,095 | 3.2× |
| Ppps, subseq visit (G0439) | $366.18 | $718 | 2.7× |
| Prefab porc/cer crown perm (D2928) | $369.50 | $724.50 | 0.6× |
| Prefab porc/ceram crown pri (D2929) | $299.04 | $586.36 | 0.5× |
| Prefab post/core + crown (D2954) | $246.33 | $483 | 0.4× |
| Prefab stainless steel crown (D2933) | $262.59 | $514.88 | 0.4× |
| Prefab stnlss steel crown pe (D2931) | $237.46 | $465.61 | 0.4× |
| Prefab stnlss steel crwn pri (D2930) | $195.59 | $383.50 | 0.3× |
| Prefabricated resin crown (D2932) | $255.69 | $501.35 | 0.4× |
| Psa screening (G0103) | $141.78 | $278 | 7.3× |
| Pulp cap direct (D3110) | $66.01 | $129.44 | 0.1× |
| Pulp cap indirect (D3120) | $63.06 | $123.65 | 0.1× |
| Pulp vitality test (D0460) | $42.37 | $83.08 | 0.1× |
| Pulpal regeneration complete (D3357) | $417.78 | $819.17 | 0.7× |
| Pulpal regeneration initial (D3355) | $296.09 | $580.57 | 0.5× |
| Pulpal therapy anterior prim (D3230) | $199.03 | $390.26 | 0.3× |
| Pulpal therapy posterior pri (D3240) | $217.75 | $426.97 | 0.3× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) range across 3 matching MRF lines |
$97.41–$1,033.77 | $191–$2,027 | varies |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) range across 4 matching MRF lines |
$70.38–$1,033.77 | $138–$2,027 | varies |
| Rad exc lesion up to 1.25 cm (D7410) | $317.77 | $623.07 | 0.2× |
| Re-cement or re-bond crown (D2920) | $90.16 | $176.78 | 0.1× |
| Re-eval post-op visit (D0171) | $50.75 | $99.50 | 0.4× |
| Re-eval,est pt,problem focus (D0170) | $53.21 | $104.33 | 0.4× |
| Reattach tooth fragment (D2921) | $198.54 | $389.30 | 0.3× |
| Recement space maint - man (D1552) | $74.39 | $145.87 | 0.1× |
| Recement space maint - max (D1551) | $72.42 | $142 | 0.1× |
| Recement unilat space maint (D1553) | $77.35 | $151.66 | 0.1× |
| Rem imp tooth w mucoper flp (D7210) | $213.32 | $418.28 | 0.1× |
| Rem nonodonto cyst > 1.25 cm (D7461) | $682.83 | $1,338.88 | 1.1× |
| Rem nonodonto cyst to 1.25cm (D7460) | $445.86 | $874.23 | 0.7× |
| Rem odontogen cyst to 1.25cm (D7450) | $460.64 | $903.21 | 0.1× |
| Remove bilat space main, man (D1527) | $315.80 | $619.21 | 0.5× |
| Remove bilat space main, max (D1526) | $317.27 | $622.10 | 0.5× |
| Remove torus mandibularis (D7473) | $635.04 | $1,245.17 | 1.0× |
| Remove unilat space maintain (D1520) | $263.57 | $516.81 | 0.4× |
| Resin 4/> surf or w incis an (D2335) | $234.01 | $458.85 | 0.4× |
| Resin one surface-anterior (D2330) | $128.59 | $252.13 | 0.2× |
| Resin three surfaces-anterio (D2332) | $187.21 | $367.08 | 0.3× |
| Resin two surfaces-anterior (D2331) | $154.20 | $302.36 | 0.2× |
| Retreat root canal anterior (D3346) | $647.35 | $1,269.32 | 1.0× |
| Scaling gingiv inflammation (D4346) | $124.15 | $243.43 | 0.2× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $61.71 | $121 | 2.3× |
| Soft tissue graft firsttooth (D4277) | $742.93 | $1,456.73 | 0.5× |
| Space maintainer fxd unilat (D1510) | $228.59 | $448.22 | 0.4× |
| Splint extra-coronal (D4323) | $342.89 | $672.34 | 0.5× |
| Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) | $2,699.94 | $5,294 | 0.7× |
| Surgical splint (D5988) | $487.24 | $955.37 | 0.8× |
| Therapeutic procd strg endur (G0237) | $91.29 | $179 | 3.2× |
| Therapeutic pulpotomy (D3220) | $158.15 | $310.09 | 0.3× |
| Tooth pin retention (D2951) | $59.12 | $115.92 | 0.1× |
| Tooth reimplantation (D7270) | $400.53 | $785.36 | 0.6× |
| Tooth root removal (D7250) | $229.09 | $449.19 | 0.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,183.93 | $6,243 | 0.9× |
| Vert bitewings 7 to 8 images (D0277) | $71.93 | $141.04 | 0.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.