Space maintainer fxd unilat (CPT D1510)
D1510 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
120 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 | $37.66 | $538 | $852.69 | 0.0× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $583.69 | 0.1× |
| Othello Community Hospital | Othello, WA | $54.56 | $72.75 | $720.41 | 0.1× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $79.65 | $295 | $807 | 0.1× |
| Adventist Health Sonora | Sonora, CA | $91.46 | $538 | $831.49 | 0.1× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $93.84 | $347.55 | $807 | 0.1× |
| Adventist Health Reedley | Reedley, CA | $102.22 | $538 | $831.49 | 0.1× |
| Adventist Health Ukiah Valley | Ukiah, CA | $107.60 | $538 | $831.49 | 0.1× |
| MetroHealth System range across 2 matching MRF lines |
Cleveland, OH | $128.45–$458.85 | $367–$1,311 | $611.63 | varies |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $145.26 | $538 | $831.49 | 0.2× |
| Adventist Health Howard Memorial | Willits, CA | $161.40 | $538 | $831.49 | 0.2× |
| Magee General Hospital | Magee, MS | $205.77 | $593 | $583.69 | 0.4× |
| Newark-Wayne Community Hospital | Newark, NY | $219.05 | $337 | $807 | 0.3× |
| Rochester General Hospital | Rochester, NY | $219.05 | $337 | $807 | 0.3× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $219.05 | $337 | $807 | 0.3× |
| Wynn Hospital | Utica, NY | $223.20 | $372 | $807 | 0.3× |
| Endeavor Health Clinical Operations | Evanston, IL | $224 | $224 | $692.79 | 0.3× |
| Swedish Hospital | Chicago, IL | $224 | $224 | $692.79 | 0.3× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $228.59 | $448.22 | $630.01 | 0.4× |
| Mammoth Hospital | Mammoth Lakes, CA | $245.70 | $351 | $831.49 | 0.3× |
| Bear Valley Community Hospital | Big Bear Lake, CA | $252 | $360 | $831.49 | 0.3× |
| Unity Hospital of Rochester | Rochester, NY | $269.60 | $337 | $807 | 0.3× |
| Unity Specialty Hospital | Rochester, NY | $269.60 | $337 | $807 | 0.3× |
| Plumas District Hospital | Quincy, CA | $293.60 | $367 | $831.49 | 0.4× |
| Bayside Community Hospital | Anahuac, TX | $295 | $295 | $649.43 | 0.5× |
| Contra Costa Regional Medical Center | Martinez, CA | $326 | $326 | $912.89 | 0.4× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $355.08 | $538 | $831.49 | 0.4× |
| Boston Medical Center | Boston, MA | $378.45 | $841 | $774.78 | 0.5× |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $391.64 | $602.53 | $721.28 | 0.5× |
| Charleston Area Medical Center | Charleston, WV | $462 | $462 | $620.15 | 0.7× |
| Kaleida Health | Buffalo, NY | $604 | $604 | $807 | 0.7× |
| Children's Minnesota - Minneapolis Hospital range across 2 matching MRF lines |
Minneapolis, MN | $644–$1,372 | $644–$1,372 | $677.09 | varies |
| Maimonides Medical Center | Brooklyn, NY | $726 | $726 | $807 | 0.9× |
| Highland Hospital | Rochester, NY | $767.37 | — | $807 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $767.37 | — | $807 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $793.33 | — | $689.86 | 1.1× |
| Nyack Hospital | Nyack, NY | $807 | — | $807 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $807 | — | $807 | 1.0× |
| Cibola General Hospital | Grants, NM | $819.06 | $1,023.82 | $640 | 1.3× |
| Lackey Memorial Hospital | Forest, MS | $850 | $850 | $583.69 | 1.5× |
| North Sunflower Medical Center | Ruleville, MS | $850 | $1,700 | $557.37 | 1.5× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $888.94 | — | $644.16 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $888.94 | — | $644.16 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $888.94 | — | $644.16 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $888.94 | — | $644.16 | 1.4× |
| Monroe Regional Hospital | Aberdeen, MS | $921.15 | $921.15 | $557.37 | 1.7× |
| King’s Daughters Medical Center | Brookhaven, MS | $945 | $3,150 | $557.37 | 1.7× |
| Mount Sinai Hospital | New York, NY | $1,080 | $1,200 | $807 | 1.3× |
| Mount Sinai West | New York, NY | $1,080 | $1,200 | $807 | 1.3× |
| Mount Sinai Brooklyn | Brooklyn, NY | $1,080 | $1,200 | $807 | 1.3× |
| Dayton Children's Hospital | Dayton, OH | $1,091.01 | $1,558.59 | $633.58 | 1.7× |
| John H Stroger Jr Hospital | Chicago, IL | $1,156.40 | $1,652 | $692.79 | 1.7× |
| Provident Hospital of Chicago | Chicago, IL | $1,156.40 | $1,652 | $692.79 | 1.7× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $1,288.67 | $4,157 | $616.82 | 2.1× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,347.69 | — | $660.49 | 2.0× |
| Sioux Falls Specialty Hospital LLP | Sioux Falls, SD | $1,385.83 | $1,847.77 | $660.49 | 2.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,460.36 | — | $601.28 | 2.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,460.36 | — | $601.28 | 2.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,460.36 | — | $601.28 | 2.4× |
| Jackson Memorial Hospital range across 2 matching MRF lines |
Miami, FL | $1,475 | $1,332–$2,503 | $675.11 | 2.2× |
| Lakeside Medical Center | Belle Glade, FL | $1,668.91 | — | $675.11 | 2.5× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,825.64 | — | $587.10 | 3.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $1,865.31 | — | $621.77 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $1,865.31 | — | $621.77 | 3.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Jacobi Medical Center | Bronx, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Metropolitan Hospital Center | New York, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Kings County Hospital Center | Brooklyn, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Bellevue Hospital Center | New York, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Queens Hospital Center | Jamaica, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Harlem Hospital Center | New York, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,967.49 | $586.45 | $807 | 2.4× |
| Griffin Hospital | Derby, CT | $1,987.64 | — | $775.02 | 2.6× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $2,702.05 | $4,157 | $617.69 | 4.4× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $2,702.05 | $4,157 | $617.69 | 4.4× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $2,702.05 | $4,157 | $619.24 | 4.4× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $2,702.05 | $4,157 | $619.24 | 4.4× |
| Prisma Health Laurens County Hospital | Clinton, SC | $2,702.05 | $4,157 | $615.95 | 4.4× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $2,702.05 | $4,157 | $615.95 | 4.4× |
| Prisma Health Patewood Hospital | Greenville, SC | $2,702.05 | $4,157 | $619.24 | 4.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,389.76 | — | $621.77 | 5.5× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $4,099.20 | $7,320 | $938.69 | 4.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $4,099.20 | $7,320 | $949.78 | 4.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $4,099.20 | $7,320 | $945.70 | 4.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $4,099.20 | $7,320 | $916.97 | 4.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $4,099.20 | $7,320 | $938.69 | 4.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $4,099.20 | $7,320 | $950.89 | 4.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $4,099.20 | $7,320 | $888.99 | 4.6× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $4,099.20 | $7,320 | $831.49 | 4.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $4,099.20 | $7,320 | $905.91 | 4.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $4,099.20 | $7,320 | $912.89 | 4.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $4,099.20 | $7,320 | $949.78 | 4.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $4,099.20 | $7,320 | $839.02 | 4.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $4,099.20 | $7,320 | $934.61 | 4.4× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $4,585 | $4,585 | $673.92 | 6.8× |
| St. Luke's Boise Medical Center | Boise, ID | $4,585 | $4,585 | $698.06 | 6.6× |
| St. Luke's Nampa Medical Center | Nampa, ID | $4,585 | $4,585 | $653.20 | 7.0× |
| St. Luke's Jerome Medical Center | Jerome, ID | $4,585 | $4,585 | $641.51 | 7.1× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $4,585 | $4,585 | $638.69 | 7.2× |
| St. Luke's McCall Medical Center | McCall, ID | $4,585 | $4,585 | $638.69 | 7.2× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $4,585 | $4,585 | $638.69 | 7.2× |
| Navarro Regional Hospital | Corsicana, TX | $4,923.68 | $20,515.32 | $649.43 | 7.6× |
| Merit Health Wesley | Hattiesburg, MS | $4,952.01 | $23,581 | $574.14 | 8.6× |
| Merit Health River Region | Vicksburg, MS | $6,987.11 | $38,817.29 | $574.14 | 12.2× |
| East Georgia Regional Medical Center | Statesboro, GA | $7,358.85 | $27,255 | $575.72 | 12.8× |
| Upstate University Hospital | Syracuse, NY | — | $450 | $807 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $480 | $807 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $480 | $807 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $480 | $807 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $480 | $807 | — |
| St. Joseph Hospital | Bethpage, NY | — | $480 | $807 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $480 | $807 | — |
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.