Pulp cap indirect (CPT D3120)
D3120 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
113 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 |
|---|---|---|---|---|---|
| Concord Hospital | Concord, NH | $7.80 | $26 | $690.29 | 0.0× |
| Concord Hospital – Laconia | Laconia, NH | $7.80 | $26 | $690.29 | 0.0× |
| Concord Hospital – Franklin | Franklin, NH | $7.80 | $26 | $690.29 | 0.0× |
| Adventist Health Lodi Memorial | Lodi, CA | $14.63 | $209 | $852.69 | 0.0× |
| Touro | New Orleans, LA | $18.90 | $135 | $606.83 | 0.0× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $22.41 | $83 | $807 | 0.0× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $22.41 | $83 | $807 | 0.0× |
| OHSU Hospital and Clinics | Portland, OR | $26 | $40 | $725.96 | 0.0× |
| MetroHealth System | Cleveland, OH | $32.90 | $94 | $611.63 | 0.1× |
| University Medical Center New Orleans | New Orleans, LA | $33.22 | $151 | $585.39 | 0.1× |
| Manning Family Children's | New Orleans, LA | $33.75 | $125 | $606.83 | 0.1× |
| Newark-Wayne Community Hospital | Newark, NY | $35.10 | $54 | $807 | 0.0× |
| Rochester General Hospital | Rochester, NY | $35.10 | $54 | $807 | 0.0× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $35.10 | $54 | $807 | 0.0× |
| Adventist Health Sonora | Sonora, CA | $35.53 | $209 | $831.49 | 0.0× |
| Adventist Health Reedley | Reedley, CA | $39.71 | $209 | $831.49 | 0.0× |
| Endeavor Health Clinical Operations | Evanston, IL | $41 | $41 | $692.79 | 0.1× |
| Swedish Hospital | Chicago, IL | $41 | $41 | $692.79 | 0.1× |
| Adventist Health Ukiah Valley | Ukiah, CA | $41.80 | $209 | $831.49 | 0.1× |
| Wynn Hospital | Utica, NY | $42 | $70 | $807 | 0.1× |
| Unity Hospital of Rochester | Rochester, NY | $43.20 | $54 | $807 | 0.1× |
| Unity Specialty Hospital | Rochester, NY | $43.20 | $54 | $807 | 0.1× |
| Nebraska Medical Center | Omaha, NE | $45.50 | $70 | $671.31 | 0.1× |
| Bellevue Medical Center | Bellevue, NE | $45.50 | $70 | $671.31 | 0.1× |
| Contra Costa Regional Medical Center | Martinez, CA | $47 | $47 | $912.89 | 0.1× |
| Boston Medical Center | Boston, MA | $50.40 | $112 | $774.78 | 0.1× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $53.20 | $95 | $938.69 | 0.1× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $53.20 | $95 | $934.49 | 0.1× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $53.20 | $95 | $917.92 | 0.1× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $53.20 | $95 | $949.78 | 0.1× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $53.20 | $95 | $945.70 | 0.1× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $53.20 | $95 | $934.49 | 0.1× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $53.20 | $95 | $917.92 | 0.1× |
| Kaiser Foundation Hospital | San Rafael, CA | $53.20 | $95 | $916.97 | 0.1× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $53.20 | $95 | $934.49 | 0.1× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $53.20 | $95 | $938.69 | 0.1× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $53.20 | $95 | $950.89 | 0.1× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $53.20 | $95 | $917.92 | 0.1× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $53.20 | $95 | $888.99 | 0.1× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $53.20 | $95 | $831.49 | 0.1× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $53.20 | $95 | $905.91 | 0.1× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $53.20 | $95 | $912.89 | 0.1× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $53.20 | $95 | $949.78 | 0.1× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $53.20 | $95 | $839.02 | 0.1× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $53.20 | $95 | $934.61 | 0.1× |
| 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× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $56.43 | $209 | $831.49 | 0.1× |
| Adventist Health Howard Memorial | Willits, CA | $62.70 | $209 | $831.49 | 0.1× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $63.06 | $123.65 | $630.01 | 0.1× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $68–$767.37 | — | $807 | varies |
| Maimonides Medical Center | Brooklyn, NY | $69 | $69 | $807 | 0.1× |
| Bayside Community Hospital | Anahuac, TX | $73 | $73 | $649.43 | 0.1× |
| Westchester Medical Center | Valhalla, NY | $75 | $75 | $807 | 0.1× |
| Plumas District Hospital | Quincy, CA | $92.80 | $116 | $831.49 | 0.1× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $95.10 | $95.10 | $807 | 0.1× |
| Mcbride Orthopedic Hospital | Oklahoma City, OK | $106 | $106 | $621.77 | 0.2× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $137.94 | $209 | $831.49 | 0.2× |
| Kaleida Health | Buffalo, NY | $143 | $143 | $807 | 0.2× |
| Lackey Memorial Hospital | Forest, MS | $144 | $144 | $583.69 | 0.2× |
| Mount Sinai Hospital | New York, NY | $180 | $200 | $807 | 0.2× |
| Mount Sinai West | New York, NY | $180 | $200 | $807 | 0.2× |
| Mount Sinai Brooklyn | Brooklyn, NY | $180 | $200 | $807 | 0.2× |
| Arkansas Children's Hospital | Little Rock, AR | $198.47 | $220.52 | $607.43 | 0.3× |
| Ketchikan Medical Center | Ketchikan, AK | $297.19 | $457.22 | $717.48 | 0.4× |
| Children's Minnesota - Minneapolis Hospital range across 2 matching MRF lines |
Minneapolis, MN | $369–$728 | $369–$728 | $677.09 | varies |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $602.39 | $926.75 | $721.28 | 0.8× |
| Highland 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× |
| 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× |
| Benefis Hospitals Inc | Great Falls, MT | $1,101.60 | $1,836 | $660.49 | 1.7× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,195.89 | — | $601.28 | 2.0× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,195.89 | — | $601.28 | 2.0× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,195.89 | — | $601.28 | 2.0× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,347.69 | — | $660.49 | 2.0× |
| 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× |
| University Medical Center | Las Vegas, NV | $1,929.30 | $6,431 | $706.66 | 2.7× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Jacobi Medical Center | Bronx, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Metropolitan Hospital Center | New York, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Kings County Hospital Center | Brooklyn, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Bellevue Hospital Center | New York, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Queens Hospital Center | Jamaica, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Harlem Hospital Center | New York, NY | $1,967.49 | $188.92 | $807 | 2.4× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,967.49 | $188.92 | $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× |
| Wilson Medical Center | Wilson, NC | $3,062.47 | $7,656.17 | $643.65 | 4.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,389.76 | — | $621.77 | 5.5× |
| Upstate University Hospital | Syracuse, NY | — | $89 | $807 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $92 | $807 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $92 | $807 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $92 | $807 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $92 | $807 | — |
| St. Joseph Hospital | Bethpage, NY | — | $92 | $807 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $92 | $807 | — |
| Jackson Memorial Hospital range across 2 matching MRF lines |
Miami, FL | — | $1,332–$2,503 | $675.11 | — |
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.