Intraoral occlusal film (CPT D0240)
D0240 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
91 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 |
|---|---|---|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | $6.16 | $88 | $114.78 | 0.1× |
| Mountains Community Hospital | Lake Arrowhead, CA | $10 | $25 | $111.93 | 0.1× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $10.80 | $40 | $108.63 | 0.1× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $13.04 | $48.30 | $108.63 | 0.1× |
| Adventist Health Sonora | Sonora, CA | $14.96 | $88 | $111.93 | 0.1× |
| MetroHealth System | Cleveland, OH | $16.10 | $46 | $82.33 | 0.2× |
| Adventist Health Reedley | Reedley, CA | $16.72 | $88 | $111.93 | 0.1× |
| OHSU Hospital and Clinics | Portland, OR | $16.90 | $26 | $97.72 | 0.2× |
| Adventist Health Ukiah Valley | Ukiah, CA | $17.60 | $88 | $111.93 | 0.2× |
| Newark-Wayne Community Hospital | Newark, NY | $20.80 | $32 | $108.63 | 0.2× |
| Rochester General Hospital | Rochester, NY | $20.80 | $32 | $108.63 | 0.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $20.80 | $32 | $108.63 | 0.2× |
| Bear Valley Community Hospital | Big Bear Lake, CA | $22.40 | $32 | $111.93 | 0.2× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $23.76 | $88 | $111.93 | 0.2× |
| Unity Hospital of Rochester | Rochester, NY | $25.60 | $32 | $108.63 | 0.2× |
| Unity Specialty Hospital | Rochester, NY | $25.60 | $32 | $108.63 | 0.2× |
| Nebraska Medical Center | Omaha, NE | $26 | $40 | $90.37 | 0.3× |
| Bellevue Medical Center | Bellevue, NE | $26 | $40 | $90.37 | 0.3× |
| Adventist Health Howard Memorial | Willits, CA | $26.40 | $88 | $111.93 | 0.2× |
| Wynn Hospital | Utica, NY | $28.80 | $48 | $108.63 | 0.3× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $29.56 | $57.96 | $84.81 | 0.3× |
| Contra Costa Regional Medical Center | Martinez, CA | $33 | $33 | $122.89 | 0.3× |
| Bayside Community Hospital | Anahuac, TX | $37 | $37 | $87.42 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $78.57 | 0.7× |
| Mcbride Orthopedic Hospital | Oklahoma City, OK | $55 | $55 | $83.70 | 0.7× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $58.08 | $88 | $111.93 | 0.5× |
| Norwalk Hospital | Norwalk, CT | $69 | $69 | $104.33 | 0.7× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $74.80–$103.30 | — | $108.63 | varies |
| Kaleida Health | Buffalo, NY | $84 | $84 | $108.63 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $88.38 | — | $90.88 | 1.0× |
| Arkansas Children's Hospital | Little Rock, AR | $93.82 | $104.24 | $81.77 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $96.68 | — | $79.03 | 1.2× |
| Highland Hospital | Rochester, NY | $103.30 | — | $108.63 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Bellevue Hospital Center | New York, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Harlem Hospital Center | New York, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $104.19 | $75.90 | $108.63 | 1.0× |
| Westchester Medical Center | Valhalla, NY | $105 | $105 | $108.63 | 1.0× |
| Griffin Hospital | Derby, CT | $105.26 | — | $104.33 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $106.79 | — | $92.86 | 1.2× |
| Nyack Hospital | Nyack, NY | $108.63 | — | $108.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $108.63 | — | $108.63 | 1.0× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $110.93 | $110.93 | $108.63 | 1.0× |
| Benefis Hospitals Inc | Great Falls, MT | $114.60 | $191 | $88.91 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $119.66 | — | $86.71 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $119.66 | — | $86.71 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $119.66 | — | $86.71 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $119.66 | — | $86.71 | 1.4× |
| Mount Sinai Hospital | New York, NY | $126 | $140 | $108.63 | 1.2× |
| Mount Sinai West | New York, NY | $126 | $140 | $108.63 | 1.2× |
| Mount Sinai Brooklyn | Brooklyn, NY | $126 | $140 | $108.63 | 1.2× |
| Maimonides Medical Center | Brooklyn, NY | $138 | $138 | $108.63 | 1.3× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $139.10 | — | $88.91 | 1.6× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $143 | $220 | $83.15 | 1.7× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $143 | $220 | $83.15 | 1.7× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $143 | $220 | $83.36 | 1.7× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $143 | $220 | $83.36 | 1.7× |
| Prisma Health Laurens County Hospital | Clinton, SC | $143 | $220 | $82.91 | 1.7× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $143 | $220 | $82.91 | 1.7× |
| Prisma Health Patewood Hospital | Greenville, SC | $143 | $220 | $83.36 | 1.7× |
| John H Stroger Jr Hospital | Chicago, IL | $156.10 | $223 | $93.26 | 1.7× |
| Provident Hospital of Chicago | Chicago, IL | $156.10 | $223 | $93.26 | 1.7× |
| Duncan Regional Hospital, Inc | Duncan, OK | $179.52 | — | $83.70 | 2.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $251.10 | — | $83.70 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $251.10 | — | $83.70 | 3.0× |
| Ketchikan Medical Center | Ketchikan, AK | $297.19 | $457.22 | $96.58 | 3.1× |
| Touro | New Orleans, LA | $339.22 | $2,423 | $81.69 | 4.2× |
| West Jefferson Medical Center | Marrero, LA | $407.36 | $2,546 | $81.69 | 5.0× |
| Boston Medical Center | Boston, MA | $472.95 | $1,051 | $104.29 | 4.5× |
| University Medical Center New Orleans | New Orleans, LA | $591.80 | $2,690 | $78.80 | 7.5× |
| Manning Family Children's | New Orleans, LA | $603.99 | $2,237 | $81.69 | 7.4× |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $605.01 | $930.78 | $97.09 | 6.2× |
| Jackson Memorial Hospital | Miami, FL | $1,475 | $2,019 | $90.88 | 16.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,629.46 | — | $80.94 | 20.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,629.46 | — | $80.94 | 20.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,629.46 | — | $80.94 | 20.1× |
| Merit Health Wesley | Hattiesburg, MS | $4,672.40 | $22,249.54 | $77.29 | 60.5× |
| MercyOne North Iowa Medical Center | Mason City, IA | $46,153.85 | — | $87.58 | 527.0× |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $52 | $108.63 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $52 | $108.63 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $52 | $108.63 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $52 | $108.63 | — |
| St. Joseph Hospital | Bethpage, NY | — | $52 | $108.63 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $52 | $108.63 | — |
| Upstate University Hospital | Syracuse, NY | — | $65 | $108.63 | — |
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.