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Dental and Oral Diseases with Complications

Oregon rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $20,893 · 10th–90th $12,589$30,9030%10%20%10th90th$20,893$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$25,118.86
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$21,877.62
Typical High
$34,673.69
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$19,054.61
Typical High
$28,840.32
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$15,848.93
Typical High
$19,952.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$20,892.96
Typical High
$33,113.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$18,197.01
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$20,417.38
Typical High
$24,547.09