Appl Interdental Fixation Device Non-Fx/Dislc (CPT 21110)
21110 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
177 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $1,337.23 | 0.0× |
| North Sunflower Medical Center | Ruleville, MS | $350 | $700 | $1,337.71 | 0.3× |
| Tampa General Hospital | Tampa, FL | $367.15 | $1,049 | $1,620.29 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $369.75 | $1,479 | $1,412.75 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $369.75 | $1,479 | $1,457.84 | 0.3× |
| Unity Health - Newport | Newport, AR | $369.75 | $1,479 | $1,412.75 | 0.3× |
| University Health System | San Antonio, TX | $451.50 | $1,806 | $1,558.65 | 0.3× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $451.70 | $4,517 | $1,492.27 | 0.3× |
| West Jefferson Medical Center | Marrero, LA | $458.24 | $2,864 | $1,456.41 | 0.3× |
| Duke University Hospital | Durham, NC | $470.07 | $1,741 | $1,543.91 | 0.3× |
| Methodist Fremont Health | Fremont, NE | $487.29 | $1,317 | $1,611.16 | 0.3× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $497 | $1,658 | $1,558.65 | 0.3× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $501.63 | $2,181 | $1,404.95 | 0.4× |
| University Medical Center of El Paso | El Paso, TX | $510.30 | $2,551.50 | $1,558.65 | 0.3× |
| Memorial Medical Center | Port Lavaca, TX | $538.17 | $768.81 | $1,558.65 | 0.3× |
| CommonSpirit Saint Joseph Hospital - Berea | Berea, KY | $546.17 | $1,133 | $1,455.84 | 0.4× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $552.30 | $1,315 | $1,611.16 | 0.3× |
| CHI Health Immanuel | Omaha, NE | $552.30 | $1,315 | $1,611.16 | 0.3× |
| CHI Health Midlands | Papillion, NE | $552.30 | $1,315 | $1,611.16 | 0.3× |
| CHI Health Lakeside | Omaha, NE | $552.30 | $1,315 | $1,611.16 | 0.3× |
| Ochsner St. Mary Hospital | Morgan City, LA | $558.40 | $2,792 | $1,404.95 | 0.4× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $592.88 | $1,476 | $1,515.28 | 0.4× |
| Lallie Kemp Regional Medical Center | Independence, LA | $600.79 | $1,001.32 | $1,404.95 | 0.4× |
| East Carroll Parish Hospital | Lake Providence, LA | $603.75 | $805 | $1,412.66 | 0.4× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $614.24 | $2,792 | $1,456.41 | 0.4× |
| UK St. Claire Regional Medical Center | Morehead, KY | $615 | $820 | $1,501.97 | 0.4× |
| Methodist Hospital | Omaha, NE | $622.80 | $1,730 | $1,611.16 | 0.4× |
| Deaconess Henderson Hospital | Henderson, KY | $681.90 | $2,273 | $1,550.85 | 0.4× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $695.32 | $1,476 | $1,515.28 | 0.5× |
| East Jefferson General Hospital | Metairie, LA | $731.64 | $5,226 | $1,456.41 | 0.5× |
| UT Medical Center | Knoxville, TN | $803.25 | $3,213 | $1,407.71 | 0.6× |
| Tops Surgical Specialty Hospital | Houston, TX | $809.55 | $2,313 | $1,558.65 | 0.5× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $848.96 | $2,653 | $1,404.95 | 0.6× |
| Children's Hospital Colorado | Aurora, CO | $889.85 | $1,369 | $1,636.74 | 0.5× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $892.33 | $3,077 | $1,481.61 | 0.6× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $892.33 | $3,077 | $1,472.96 | 0.6× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $892.33 | $3,077 | $1,488.56 | 0.6× |
| St. Charles Parish Hospital | Luling, LA | $922.05 | $3,415 | $1,456.41 | 0.6× |
| Summit Surgical, LLC | Hutchinson, KS | $928.30 | $1,160.38 | $1,426.92 | 0.7× |
| Denver Health Medical Center | Denver, CO | $931.20 | $2,660.56 | $1,636.74 | 0.6× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $958.36 | $3,686 | $1,496.93 | 0.6× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $1,032.08 | $3,686 | $1,404.95 | 0.7× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,038.45 | $2,967 | $1,636.74 | 0.6× |
| MUSC Health Black River Medical Center | Cades, SC | $1,063 | $2,126 | $1,443.09 | 0.7× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $1,071 | $1,785 | $1,558.65 | 0.7× |
| CHI St. Vincent North | Sherwood, AR | $1,074 | $4,225 | $1,457.84 | 0.7× |
| Lane Regional Medical Center | Zachary, LA | $1,106 | $3,159 | $1,404.95 | 0.8× |
| Nebraska Medical Center | Omaha, NE | $1,129.70 | $1,738 | $1,611.16 | 0.7× |
| Bellevue Medical Center | Bellevue, NE | $1,129.70 | $1,738 | $1,611.16 | 0.7× |
| University Hospital – UMMC | Jackson, MS | $1,200 | $3,000 | $1,400.86 | 0.9× |
| UMMC Madison | Canton, MS | $1,200 | $3,000 | $1,400.86 | 0.9× |
| UK Albert B. Chandler Hospital | Lexington, KY | $1,229.01 | $3,072.52 | $1,515.28 | 0.8× |
| DeSoto Regional Health System | Mansfield, LA | $1,260 | $1,800 | $1,404.95 | 0.9× |
| Mercy Hospital St. Louis | St. Louis, MO | $1,269.78 | $1,953.50 | $1,554.09 | 0.8× |
| UConn John Dempsey Hospital | Farmington, CT | $1,270.20 | $2,117 | $1,860.06 | 0.7× |
| St. Joseph Medical Center | Houston, TX | $1,298.70 | $3,330 | $1,558.65 | 0.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,334.70 | $1,483 | $1,636.74 | 0.8× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $1,339.04 | $3,156 | $1,528.69 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $1,350.36 | $6,138 | $1,404.95 | 1.0× |
| MUSC Health University Medical Center | Charleston, SC | $1,470 | $2,940 | $1,443.09 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $1,486.88 | — | $1,620.29 | 0.9× |
| St. Joseph Medical Center | Kansas City, MO | $1,546 | $7,483.21 | $1,554.09 | 1.0× |
| Dallas Medical Center | Dallas, TX | $1,551 | $4,184.17 | $1,558.65 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $1,564.92 | $4,347 | $1,558.65 | 1.0× |
| Regional Medical Center | Memphis, TN | $1,583.99 | $2,463.43 | $1,437.58 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,602.87 | — | $1,443.09 | 1.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,602.87 | — | $1,443.09 | 1.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,602.87 | — | $1,443.09 | 1.1× |
| Memorial Hermann Hospital System | Houston, TX | $1,603.68 | $5,011.50 | $1,558.65 | 1.0× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $1,603.68 | $5,011.50 | $1,558.65 | 1.0× |
| Memorial Hermann Northeast Hospital | Humble, TX | $1,603.68 | $5,011.50 | $1,558.65 | 1.0× |
| Memorial Hermann Katy Hospital | Katy, TX | $1,603.68 | $5,011.50 | $1,558.65 | 1.0× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $1,603.68 | $5,011.50 | $1,558.65 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,626.52 | — | $1,409.04 | 1.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,644 | $2,740 | $1,558.65 | 1.1× |
| Vanderbilt University Hospital | Nashville, TN | $1,661.58 | $3,077 | $1,523.08 | 1.1× |
| Connecticut Children's Medical Center | Hartford, CT | $1,665 | $2,775 | $1,860.06 | 0.9× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $1,675.80 | $2,793 | $1,558.65 | 1.1× |
| Larkin Community Hospital | South Miami, FL | $1,748.60 | $2,498 | $1,620.29 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $1,765.31 | — | $1,492.27 | 1.2× |
| Griffin Hospital | Derby, CT | $1,770.84 | — | $1,860.06 | 1.0× |
| Memorial Hermann Texas Medical Center | Houston, TX | $1,789.68 | $5,592.75 | $1,558.65 | 1.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,809.68 | $3,016.13 | $1,558.65 | 1.2× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,809.68 | $3,016.13 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,809.68 | $3,016.13 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,809.68 | $3,016.13 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,809.68 | $3,016.13 | $1,558.65 | 1.2× |
| Covenant Hospital Levelland | Levelland, TX | $1,845.90 | $4,395 | $1,558.65 | 1.2× |
| Covenant Hospital Plainview | Plainview, TX | $1,850.94 | $4,407 | $1,558.65 | 1.2× |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery | Oklahoma City, OK | $1,861.11 | $6,893 | $1,492.27 | 1.2× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,900.16 | $3,166.94 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,900.16 | $3,166.94 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,900.16 | $3,166.94 | $1,558.65 | 1.2× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,900.16 | $3,166.94 | $1,558.65 | 1.2× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,900.16 | $3,166.94 | $1,558.65 | 1.2× |
| Memorial Hermann Surgical Hospital Kingwood | Kingwood, TX | $1,901.20 | $5,432 | $1,558.65 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,904.02 | $4,300 | $1,655.67 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,939.95 | — | $1,488.56 | 1.3× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $1,941.28 | $9,706.40 | $1,558.65 | 1.2× |
| Covenant Medical Center | Lubbock, TX | $1,955.10 | $4,655 | $1,558.65 | 1.3× |
| Covenant Childrens Hospital | Lubbock, TX | $1,955.10 | $4,655 | $1,558.65 | 1.3× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $2,017.80 | $3,363 | $1,558.65 | 1.3× |
| Mease Dunedin Hospital | Dunedin, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| Winter Haven Hospital | Winter Haven, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| St. Anthony's Hospital | Saint Petersburg, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| St. Joseph's Hospital | Tampa, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| Bartow Regional Medical Center | Bartow, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| Morton Plant Hospital | Clearwater, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| South Florida Baptist Hospital | Plant City, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| Mease Countryside Hospital | Safety Harbor, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $2,048.40 | $3,414 | $1,620.29 | 1.3× |
| St. John's Medical Center | Jackson, WY | $2,090 | $2,090 | $1,585.19 | 1.3× |
| JPS Health Network | Fort Worth, TX | $2,100.60 | $3,501 | $1,558.65 | 1.3× |
| Houston Methodist Baytown Hospital | Baytown, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist West Hospital | Houston, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| Houston Methodist Cypress Hospital | Cypress, TX | $2,125 | $4,250 | $1,558.65 | 1.4× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $2,162.05 | $3,931 | $1,554.09 | 1.4× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $2,162.05 | $3,931 | $1,554.09 | 1.4× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $2,162.05 | $3,931 | $1,554.09 | 1.4× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $2,162.05 | $3,931 | $1,554.09 | 1.4× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $2,162.05 | $3,931 | $1,554.09 | 1.4× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $2,232.34 | $11,161.70 | $1,558.65 | 1.4× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $2,241 | $2,241 | $1,558.65 | 1.4× |
| UF Health Leesburg Hospital | Leesburg, FL | $2,259.40 | $4,108 | $1,620.29 | 1.4× |
| Flagler Hospital | Saint Augustine, FL | $2,259.40 | $4,108 | $1,620.29 | 1.4× |
| UF Health Shands Hospital | Gainesville, FL | $2,259.40 | $4,108 | $1,620.29 | 1.4× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $2,259.40 | $4,108 | $1,620.29 | 1.4× |
| Baptist Hospital of Miami | Miami, FL | $2,321.15 | $3,571 | $1,620.29 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $2,440.78 | $4,437.79 | $1,620.29 | 1.5× |
| Beaufort Memorial | Beaufort, SC | $2,498.40 | $4,164 | $1,443.09 | 1.7× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $2,531.40 | $4,219 | $1,561.22 | 1.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $2,664 | $5,920 | $1,636.74 | 1.6× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $2,701.80 | $4,503 | $1,455.84 | 1.9× |
| University Health Truman Medical Center | Kansas City, MO | $2,705.45 | $4,919 | $1,554.09 | 1.7× |
| University Health Lakewood Medical Center | Kansas City, MO | $2,705.45 | $4,919 | $1,554.09 | 1.7× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $2,881.80 | $4,803 | $1,542.39 | 1.9× |
| Arkansas Children's Hospital | Little Rock, AR | $2,976.08 | $3,306.76 | $1,457.84 | 2.0× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,020.04 | — | $1,492.27 | 2.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $3,063.92 | $5,106.53 | $1,561.22 | 2.0× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Regional Medical Center at Plano | Plano, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| The Heart Hospital Baylor Denton | Denton, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $3,063.92 | $5,106.53 | $1,558.65 | 2.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $3,134.88 | $3,134.88 | $1,558.65 | 2.0× |
| Houston Methodist Hospital | Houston, TX | $3,230 | $6,460 | $1,558.65 | 2.1× |
| Bon Secours St. Francis Downtown | Greenville, SC | $3,481.80 | $5,803 | $1,486.18 | 2.3× |
| White Rock Medical Center | Dallas, TX | $3,952.17 | $5,812.02 | $1,558.65 | 2.5× |
| Harris Health | Houston, TX | $4,001.55 | $6,566 | $1,558.65 | 2.6× |
| Children's of Alabama | Birmingham, AL | $4,218.15 | $9,809.64 | $1,419.22 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $4,476.81 | — | $1,492.27 | 3.0× |
| Grady Memorial Hospital | Atlanta, GA | $4,708.10 | $4,708.10 | $1,575.96 | 3.0× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $5,400.45 | $9,819 | $1,554.09 | 3.5× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $5,536.70 | $8,518 | $1,620.29 | 3.4× |
| Cleveland Clinic Hospital | Weston, FL | $5,536.70 | $8,518 | $1,620.29 | 3.4× |
| University of Kansas Hospital | Kansas City, KS | $5,814.79 | $29,073.94 | $1,448.61 | 4.0× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $7,522.50 | $10,030 | $1,558.65 | 4.8× |
| Childrens Medical Center Plano | Plano, TX | $7,522.50 | $10,030 | $1,558.65 | 4.8× |
| Omega Hospital | Metairie, LA | $11,336.20 | $19,433.49 | $1,456.41 | 7.8× |
| Parkland Memorial Hospital | Dallas, TX | $22,077.58 | $55,193.95 | $1,558.65 | 14.2× |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $3,058 | $1,558.65 | — |
| UAB Hospital | Birmingham, AL | — | $3,754 | $1,419.22 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $10,390 | $1,558.65 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.