Repair gum (CPT 41872)
41872 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.
160 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 | Chatom, AL | $54.17 | — | $2,993.40 | 0.0× |
| Children's Hospital of The King's Daughters | Norfolk, VA | $160.92 | $178.80 | $3,234.84 | 0.0× |
| Unity Health - White County Medical Center | Searcy, AR | $179.25 | $717 | $3,018.80 | 0.1× |
| Unity Health - Jacksonville | Jacksonville, AR | $179.25 | $717 | $3,115.14 | 0.1× |
| Unity Health - Newport | Newport, AR | $179.25 | $717 | $3,018.80 | 0.1× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $188.76 | $858 | $4,138.63 | 0.0× |
| O'connor Hospital | Delhi, NY | $200.91 | $744.11 | $4,138.63 | 0.0× |
| Little Falls Hospital | Little Falls, NY | $200.91 | $744.11 | $4,138.63 | 0.0× |
| Cobleskill Regional Hospital | Cobleskill, NY | $200.91 | $744.11 | $4,138.63 | 0.0× |
| Concord Hospital | Concord, NH | $230.10 | $767 | $3,540.10 | 0.1× |
| Concord Hospital – Laconia | Laconia, NH | $230.10 | $767 | $3,540.10 | 0.1× |
| Concord Hospital – Franklin | Franklin, NH | $230.10 | $767 | $3,540.10 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $265 | $884 | $3,330.57 | 0.1× |
| East Carroll Parish Hospital | Lake Providence, LA | $282.75 | $377 | $3,018.60 | 0.1× |
| Vandalia Health Mon Medical Center | Morgantown, WV | $311.40 | $622.81 | $3,207 | 0.1× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $344.16 | $491.65 | $3,552.91 | 0.1× |
| Holy Cross Hospital | Chicago, IL | $344.16 | $491.65 | $3,552.91 | 0.1× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $348.58 | $1,202 | $3,165.95 | 0.1× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $348.58 | $1,202 | $3,147.45 | 0.1× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $348.58 | $1,202 | $3,180.78 | 0.1× |
| MetroHealth System | Cleveland, OH | $371.79 | $1,062.25 | $3,136.68 | 0.1× |
| Bayside Community Hospital | Anahuac, TX | $381 | $381 | $3,330.57 | 0.1× |
| Arkansas Children's Hospital | Little Rock, AR | $426.13 | $473.48 | $3,115.14 | 0.1× |
| Arkansas Children's Northwest | Springdale, AR | $426.13 | $473.48 | $3,094.41 | 0.1× |
| Hurley Medical Center | Flint, MI | $539 | $539 | $3,303.54 | 0.2× |
| Altru Hospital range across 2 matching MRF lines |
Grand Forks, ND | $549–$916.83 | $900–$1,503 | $3,387.27 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $567 | $810 | $3,552.91 | 0.2× |
| Provident Hospital of Chicago | Chicago, IL | $567 | $810 | $3,552.91 | 0.2× |
| Washington Regional Medical Center | Fayetteville, AR | $588 | $784 | $3,125.71 | 0.2× |
| DeSoto Regional Health System | Mansfield, LA | $605.50 | $865 | $3,002.14 | 0.2× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $609.51–$1,418.95 | $937.70–$2,183 | $3,442.75 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $609.51–$1,418.95 | $937.70–$2,183 | $3,442.75 | varies |
| Vanderbilt University Hospital | Nashville, TN | $649.08 | $1,202 | $3,254.56 | 0.2× |
| Cedar-sinai Marina Del Rey Hospital range across 10 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $4,264.23 | varies |
| Waverly Health Center | Waverly, IA | $702 | $1,350 | $3,187.29 | 0.2× |
| Sidney Health Center | Sidney, MT | $704.04 | $1,137 | $3,387.27 | 0.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $777 | $1,295 | $3,330.57 | 0.2× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $790 | $790 | $3,180.38 | 0.2× |
| Erie County Medical Center | Buffalo, NY | $795.05 | $529 | $4,138.63 | 0.2× |
| Charleston Area Medical Center | Charleston, WV | $859 | $859 | $3,180.38 | 0.3× |
| Montefiore Medical Center | Bronx, NY | $927.02 | $1,417.46 | $4,138.63 | 0.2× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $4,264.23 | varies |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $964.80 | $1,072 | $3,497.42 | 0.3× |
| St. John's Medical Center | Jackson, WY | $1,013 | $1,013 | $3,387.27 | 0.3× |
| Contra Costa Regional Medical Center | Martinez, CA | $1,040 | $1,040 | $4,681.68 | 0.2× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $1,107.21 | $2,171 | $3,230.98 | 0.3× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $4,264.23 | varies |
| Mercyhealth Fhn Hospital | Freeport, IL | $1,168.80 | $1,461 | $3,552.91 | 0.3× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $1,175.65 | $3,842 | $3,540.10 | 0.3× |
| UNM Hospital | Albuquerque, NM | $1,290.17 | $2,345.77 | $3,282.20 | 0.4× |
| North Sunflower Medical Center | Ruleville, MS | $1,500 | $3,000 | $2,858.45 | 0.5× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $4,264.23 | varies |
| Parkland Memorial Hospital | Dallas, TX | $1,706.15 | $4,265.37 | $3,330.57 | 0.5× |
| Alaska Native Medical Center | Anchorage, AK | $1,881 | $1,881 | $3,679.52 | 0.5× |
| Treasure Valley Hospital | Boise, ID | $2,187.16 | $1,150 | $3,349.87 | 0.7× |
| Putnam County Hospital | Greencastle, IN | $2,686 | $3,160 | $3,507.79 | 0.8× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $2,730.39 | $4,550.65 | $3,330.57 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| St. Joseph's Medical Center | Yonkers, NY | $3,387.27 | — | $4,138.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $3,433.50 | $3,815 | $3,165.74 | 1.1× |
| Northwest Hills Surgical Hospital | Austin, TX | $3,539.88 | $9,833 | $3,330.57 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $3,726.86 | — | $3,188.71 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $3,837.72 | $8,418.22 | $4,138.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $3,837.72 | $9,385.35 | $4,138.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $3,837.72 | $8,418.22 | $4,138.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $3,837.72 | $8,418.22 | $4,138.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $3,837.72 | $8,418.22 | $4,138.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $3,837.72 | $9,385.35 | $4,138.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $3,837.72 | $9,385.35 | $4,138.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $3,837.72 | $9,385.35 | $4,138.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $3,837.72 | $8,418.22 | $4,138.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $3,837.72 | $9,385.35 | $4,138.63 | 0.9× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Highland Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $3,935.40 | — | $4,138.63 | 1.0× |
| Doctors Hosptal at Renaissance range across 4 matching MRF lines |
Edinburg, TX | $4,056.90–$4,674.14 | $4,056.90–$4,674.14 | $3,330.57 | varies |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Nyack Hospital | Nyack, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $4,138.63 | — | $4,138.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| Mercy Health Kings Mills Hospital LLC | Mason, OH | $4,296.60 | $7,161 | $3,230.98 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $4,558.89 | $4,999 | $3,303.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $4,558.89 | — | $3,303.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $4,558.89 | $4,999 | $3,303.54 | 1.4× |
| Kaiser Foundation Hospital - Panorama City | Panorama City, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Los Angeles | Los Angeles, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Downey | Downey, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital Fontana | Fontana, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - South Bay | Harbor City, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Zion | San Diego, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - West La | Los Angeles, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Woodland Hills | Woodland Hills, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital, Riverside | Riverside, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - Baldwin Park | Baldwin Park, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital-moreno Valley | Moreno Valley, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Kaiser Foundation Hospital - San Marcos | San Marcos, CA | $4,560.40 | $8,770 | $4,264.23 | 1.1× |
| Mount Sinai Hospital | New York, NY | $4,617 | $5,130 | $4,138.63 | 1.1× |
| Mount Sinai West | New York, NY | $4,617 | $5,130 | $4,138.63 | 1.1× |
| Mount Sinai Brooklyn | Brooklyn, NY | $4,617 | $5,130 | $4,138.63 | 1.1× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $4,928.13 | — | $3,387.27 | 1.5× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $5,298.86–$22,351.37 | $9,083.76–$38,316.63 | $3,112.09 | varies |
| Virginia Mason Medical Center | Seattle, WA | $5,467.20 | $10,720 | $3,850.04 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $6,082.40 | $11,058.90 | $3,462.26 | 1.8× |
| Chesapeake Regional Medical Center | Chesapeake, VA | $6,227.63 | $10,379.39 | $3,234.84 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $6,847.40 | $9,782 | $3,916.70 | 1.7× |
| St. Luke's Boise Medical Center | Boise, ID | $7,224 | $7,224 | $3,579.94 | 2.0× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $7,224 | $7,224 | $3,275.49 | 2.2× |
| Newark-Wayne Community Hospital | Newark, NY | $7,267.74 | $11,181.14 | $4,138.63 | 1.8× |
| Rochester General Hospital | Rochester, NY | $7,267.74 | $11,181.14 | $4,138.63 | 1.8× |
| The Queen's Medical Center | Honolulu, HI | $7,457.10 | $10,653 | $3,916.70 | 1.9× |
| Mercy Hospital St. Louis | St. Louis, MO | $7,543 | $11,604.62 | $3,320.81 | 2.3× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $8,795 | $8,795 | $3,456.17 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $8,795 | $8,795 | $3,349.87 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $8,795 | $8,795 | $3,289.92 | 2.7× |
| St. Luke's McCall Medical Center | McCall, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $8,795 | $8,795 | $3,275.49 | 2.7× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $9,038.40 | $16,140 | $4,813.99 | 1.9× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $9,038.40 | $16,140 | $4,792.45 | 1.9× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $9,038.40 | $16,140 | $4,707.49 | 1.9× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $9,038.40 | $16,140 | $4,870.89 | 1.9× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $9,038.40 | $16,140 | $4,849.96 | 1.9× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $9,038.40 | $16,140 | $4,792.45 | 1.9× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $9,038.40 | $16,140 | $4,707.49 | 1.9× |
| Kaiser Foundation Hospital | San Rafael, CA | $9,038.40 | $16,140 | $4,702.61 | 1.9× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $9,038.40 | $16,140 | $4,792.45 | 1.9× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $9,038.40 | $16,140 | $4,813.99 | 1.9× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $9,038.40 | $16,140 | $4,876.58 | 1.9× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $9,038.40 | $16,140 | $4,707.49 | 1.9× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $9,038.40 | $16,140 | $4,559.13 | 2.0× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $9,038.40 | $16,140 | $4,264.23 | 2.1× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $9,038.40 | $16,140 | $4,645.91 | 1.9× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $9,038.40 | $16,140 | $4,681.68 | 1.9× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $9,038.40 | $16,140 | $4,870.89 | 1.9× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $9,038.40 | $16,140 | $4,302.85 | 2.1× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $9,038.40 | $16,140 | $4,793.05 | 1.9× |
| Nassau University Medical Center | East Meadow, NY | $9,391.41 | $13,416.29 | $4,138.63 | 2.3× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Maimonides Medical Center | Brooklyn, NY | $11,630 | $11,630 | $4,138.63 | 2.8× |
| Vandalia Health Mon Marion Neighborhood Hospital | White Hall, WV | $12,274.92 | $24,549.84 | $3,180.38 | 3.9× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $23,727.93 | $43,141.69 | $4,264.23 | 5.6× |
| Pella Regional Health Center range across 3 matching MRF lines |
Pella, IA | — | $494–$998 | $3,187.29 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $656 | $3,330.57 | — |
| Graham Hospital Association | Canton, IL | — | $769.50 | $3,552.91 | — |
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.