Reconstruction of mouth (CPT 40842)
40842 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.
149 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,344.78 | 0.0× |
| Torrance Memorial Medical Center range across 13 matching MRF lines |
Torrance, CA | $350.14–$31,644.62 | $427–$38,591 | $7,613.89 | varies |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $379.94 | $1,727 | $7,389.63 | 0.1× |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $397.39 | $1,471.82 | $7,389.63 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $397.39 | $1,471.82 | $7,389.63 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $397.39 | $1,471.82 | $7,389.63 | 0.1× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $398.75 | $1,595 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $398.75 | $1,595 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $398.75 | $1,595 | $5,390.14 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $524 | $1,745 | $5,946.81 | 0.1× |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $576.60 | $1,922 | $6,320.94 | 0.1× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $576.60 | $1,922 | $6,320.94 | 0.1× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $576.60 | $1,922 | $6,320.94 | 0.1× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $620.25 | $827 | $5,389.78 | 0.1× |
| Cedar-sinai Marina Del Rey Hospital range across 13 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $7,613.89 | varies |
| McLaren Bay Region likely a partial charge, not the full procedure |
Bay City, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Central Michigan likely a partial charge, not the full procedure |
Mount Pleasant, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Northern Michigan likely a partial charge, not the full procedure |
Petoskey, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Flint likely a partial charge, not the full procedure |
Flint, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Greater Lansing likely a partial charge, not the full procedure |
Lansing, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Lapeer Region likely a partial charge, not the full procedure |
Lapeer, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Oakland likely a partial charge, not the full procedure |
Pontiac, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Port Huron likely a partial charge, not the full procedure |
Port Huron, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Macomb likely a partial charge, not the full procedure |
Mount Clemens, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Caro Region likely a partial charge, not the full procedure |
Caro, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| McLaren Thumb Region likely a partial charge, not the full procedure |
Bad Axe, MI | $692.60 | $1,385.20 | $5,898.54 | 0.1× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $763.28 | $2,632 | $5,652.87 | 0.1× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $763.28 | $2,632 | $5,619.85 | 0.1× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $763.28 | $2,632 | $5,679.36 | 0.1× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $822 | $822 | $5,946.81 | 0.1× |
| Conway Medical Center likely a partial charge, not the full procedure |
Conway, SC | $912 | $912 | $5,505.90 | 0.2× |
| Mt Sinai Hospital Medical Center likely a partial charge, not the full procedure |
Chicago, IL | $922.87 | $1,318.38 | $6,343.80 | 0.1× |
| Holy Cross Hospital likely a partial charge, not the full procedure |
Chicago, IL | $922.87 | $1,318.38 | $6,343.80 | 0.1× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $7,613.89 | varies |
| MetroHealth System likely a partial charge, not the full procedure |
Cleveland, OH | $1,027.03 | $2,934.36 | $5,600.62 | 0.2× |
| OU Health University of Oklahoma Medical Center likely a partial charge, not the full procedure |
Oklahoma City, OK | $1,053.28 | $10,532.75 | $5,693.51 | 0.2× |
| John H Stroger Jr Hospital range across 2 matching MRF lines |
Chicago, IL | $1,059.10–$10,584.70 | $1,513–$15,121 | $6,343.80 | varies |
| Provident Hospital of Chicago range across 2 matching MRF lines |
Chicago, IL | $1,059.10–$10,584.70 | $1,513–$15,121 | $6,343.80 | varies |
| Huntington Hospital range across 12 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $7,613.89 | varies |
| Mercyhealth Fhn Hospital likely a partial charge, not the full procedure |
Freeport, IL | $1,200 | $1,500 | $6,343.80 | 0.2× |
| Altru Hospital range across 3 matching MRF lines |
Grand Forks, ND | $1,216.34–$5,074.59 | $1,994–$8,319 | $6,048.05 | varies |
| Golden Valley Memorial Healthcare range across 3 matching MRF lines |
Clinton, MO | $1,229.58–$5,134.49 | $2,049.30–$8,557.49 | $5,929.39 | varies |
| Washington Regional Medical Center likely a partial charge, not the full procedure |
Fayetteville, AR | $1,332.75 | $1,777 | $5,581.02 | 0.2× |
| Nebraska Medical Center likely a partial charge, not the full procedure |
Omaha, NE | $1,369.81 | $2,107.40 | $6,147.12 | 0.2× |
| Bellevue Medical Center likely a partial charge, not the full procedure |
Bellevue, NE | $1,369.81 | $2,107.40 | $6,147.12 | 0.2× |
| DeSoto Regional Health System likely a partial charge, not the full procedure |
Mansfield, LA | $1,375.50 | $1,965 | $5,360.39 | 0.3× |
| Vanderbilt University Hospital likely a partial charge, not the full procedure |
Nashville, TN | $1,421.28 | $2,632 | $5,811.09 | 0.2× |
| Sidney Health Center likely a partial charge, not the full procedure |
Sidney, MT | $1,478.65 | $2,388 | $6,048.05 | 0.2× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $1,554.30 | $1,727 | $6,244.73 | 0.2× |
| Waverly Health Center likely a partial charge, not the full procedure |
Waverly, IA | $1,587.56 | $3,053 | $5,690.97 | 0.3× |
| Charleston Area Medical Center likely a partial charge, not the full procedure |
Charleston, WV | $1,663 | $1,663 | $5,678.64 | 0.3× |
| Titus Regional Medical Center likely a partial charge, not the full procedure |
Mount Pleasant, TX | $1,690.20 | $2,817 | $5,946.81 | 0.3× |
| Lallie Kemp Regional Medical Center unusually low: confirm this is the full procedure |
Independence, LA | $1,812.25 | $3,020.41 | $5,360.39 | 0.3× |
| CAMC Greenbrier Valley Medical Center unusually low: confirm this is the full procedure |
Ronceverte, WV | $1,858 | $1,858 | $5,678.64 | 0.3× |
| Erie County Medical Center likely a partial charge, not the full procedure |
Buffalo, NY | $1,861.46 | — | $7,389.63 | 0.3× |
| Methodist Hospital unusually low: confirm this is the full procedure |
Omaha, NE | $2,579.76 | $7,166 | $6,147.12 | 0.4× |
| East Jefferson General Hospital unusually low: confirm this is the full procedure |
Metairie, LA | $2,750.16 | $19,644 | $5,556.71 | 0.5× |
| Boston Medical Center unusually low: confirm this is the full procedure |
Boston, MA | $2,993.40 | $6,652 | $7,094.60 | 0.4× |
| West Jefferson Medical Center | Marrero, LA | $3,143.04 | $19,644 | $5,556.71 | 0.6× |
| Touro | New Orleans, LA | $3,147.20 | $22,480 | $5,556.71 | 0.6× |
| Treasure Valley Hospital | Boise, ID | $3,211.56 | — | $5,981.28 | 0.5× |
| Alaska Native Medical Center range across 2 matching MRF lines |
Anchorage, AK | $3,516–$6,547 | $3,516–$6,547 | $6,569.88 | varies |
| University Medical Center New Orleans | New Orleans, LA | $3,586.88 | $16,304 | $5,360.39 | 0.7× |
| Black Hills Surgical Hospital LLC | Rapid City, SD | $4,092.05 | $6,820.09 | $6,048.05 | 0.7× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $4,792.79 | $18,433.82 | $5,711.29 | 0.8× |
| Montefiore Medical Center | Bronx, NY | $4,891.92 | $7,480 | $7,389.63 | 0.7× |
| University of Kansas Hospital | Kansas City, KS | $5,037.69 | $25,188.45 | $5,526.95 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $5,256.97 | $13,550.33 | $5,360.39 | 1.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $5,269.42 | — | $5,505.90 | 1.0× |
| East Cooper Medical Center | Mount Pleasant, SC | $5,269.42 | — | $5,505.90 | 1.0× |
| Coastal Carolina Medical Center | Hardeeville, SC | $5,269.42 | — | $5,505.90 | 1.0× |
| Manning Family Children's | New Orleans, LA | $5,604.12 | $20,756 | $5,556.71 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,991.48 | $16,643 | $5,946.81 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $6,048.05 | — | $7,389.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $6,382.80 | $7,092 | $5,652.51 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $6,517.76 | $11,074 | $5,946.81 | 1.1× |
| Virginia Mason Medical Center | Seattle, WA | $6,523.41 | $12,791 | $6,874.33 | 0.9× |
| Summit Medical Center, LLC | Edmond, OK | $6,778.80 | — | $5,693.51 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $7,000.36 | $14,922.16 | $7,389.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $7,000.36 | $17,109.83 | $7,389.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $7,000.36 | $14,922.16 | $7,389.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $7,000.36 | $14,922.16 | $7,389.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $7,000.36 | $14,922.16 | $7,389.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $7,000.36 | $17,109.83 | $7,389.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $7,000.36 | $17,109.83 | $7,389.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $7,000.36 | $17,109.83 | $7,389.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $7,000.36 | $14,922.16 | $7,389.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $7,000.36 | $17,109.83 | $7,389.63 | 0.9× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $7,008.40 | $10,012 | $5,690.97 | 1.2× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $7,008.40 | $10,012 | $5,690.97 | 1.2× |
| Highland Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| Madison County Health Care System | Winterset, IA | $7,312.80 | $9,141 | $5,717.83 | 1.3× |
| Nyack Hospital | Nyack, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $8,139.99 | $2,361 | $5,898.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $8,139.99 | $2,361 | $5,898.54 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,963.81 | — | $6,048.05 | 1.5× |
| Memorial Sloan Kettering Cancer Center | New York, NY | $9,332 | $9,332 | $7,389.63 | 1.3× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $9,505.34–$22,351.37 | $16,294.86–$38,316.63 | $5,556.71 | varies |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $9,938.32 | $17,747 | $5,750.12 | 1.7× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $9,938.32 | $17,747 | $5,799.48 | 1.7× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $9,938.32 | $17,747 | $5,750.12 | 1.7× |
| ThedaCare Medical Center New London | New London, WI | $9,938.32 | $17,747 | $5,780.61 | 1.7× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $9,938.32 | $17,747 | $5,750.12 | 1.7× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $9,938.32 | $17,747 | $5,750.12 | 1.7× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $9,938.32 | $17,747 | $5,750.12 | 1.7× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $11,933.60 | $21,310 | $8,659.72 | 1.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital | San Rafael, CA | $11,933.60 | $21,310 | $8,396.63 | 1.4× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $11,933.60 | $21,310 | $8,707.26 | 1.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $11,933.60 | $21,310 | $8,140.43 | 1.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $11,933.60 | $21,310 | $7,613.89 | 1.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $11,933.60 | $21,310 | $8,295.38 | 1.4× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $11,933.60 | $21,310 | $8,359.25 | 1.4× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $11,933.60 | $21,310 | $7,682.84 | 1.6× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $11,933.60 | $21,310 | $8,558.11 | 1.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| UVA Health University Medical Center | Charlottesville, VA | $13,506.96 | $22,511.60 | $5,939.19 | 2.3× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $15,519 | $15,519 | $6,171.07 | 2.5× |
| St. Luke's Boise Medical Center | Boise, ID | $15,519 | $15,519 | $6,392.06 | 2.4× |
| St. Luke's Nampa Medical Center | Nampa, ID | $15,519 | $15,519 | $5,981.28 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $15,519 | $15,519 | $5,874.23 | 2.6× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's McCall Medical Center | McCall, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $24,407.79 | $44,377.80 | $7,613.89 | 3.2× |
| Hurley Medical Center | Flint, MI | $30,086.03 | $30,086.03 | $5,898.54 | 5.1× |
| Graham Hospital Association | Canton, IL | — | $1,593.26 | $6,343.80 | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $12,977 | $6,316.95 | — |
| Delta Health System – The Medical Center | Greenville, MS | — | $37,210.30 | $5,263.13‡ | — |
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.
"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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.