App topical fluoride varnish cost at US hospitals
APP TOPICAL FLUORIDE VARNISH · CPT 99188
$5.85
lowest cash price
$37.70
national median
$441.00
highest cash price
57
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $5.85–$441.00 — the variation is the story.
Most expensive published cash price
$441.00
NewYork-Presbyterian Columbia University Irving Medical Center — New York, NYMedian cash price over time
Jan 1, 2026 ($27.20) → Sep 1, 2026 ($62.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $99.06 | $99.06 | $99.06 |
| California | 14 | $21.12 | $137.76 | $137.76 |
| Colorado | 1 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 47 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $46.50 | $46.50 | $46.50 |
| Illinois | 3 | $10.20 | $10.20 | $27.20 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 15 | $9.60 | $27.20 | $37.70 |
| Kansas | 3 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 19 | $56.00 | $62.00 | $62.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 9 | $42.90 | $42.90 | $42.90 |
| Montana | 1 | $17.60 | $17.60 | $17.60 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 10 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 12 | $441.00 | $441.00 | $441.00 |
| North Carolina | 12 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 22 | $52.00 | $52.00 | $52.00 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 1 | $27.75 | $27.75 | $27.75 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 4 | $5.85 | $5.85 | $5.85 |
| Texas | 27 | $10.50 | $10.50 | $10.50 |
| Virginia | 1 | $5.85 | $5.85 | $5.85 |
| Washington | 1 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 6 | $19.38 | $19.38 | $44.80 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Bristol Regional Medical Center | BRISTOL, TN | $5.85 | $6.26 – $178.74 |
| Greeneville Community Hospital | GREENEVILLE, TN | $5.85 | $3.76 – $187.15 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $5.85 | $5.22 – $196.51 |
| Holston Valley Medical Center | KINGSPORT, TN | $5.85 | $6.26 – $178.74 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $5.85 | $5.22 – $181.57 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $9.60 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $10.20 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $10.20 | $15.64 – $133.75 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $10.20 | $12.41 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $10.20 | $362.22 – $2,970.16 |
| Covenant Hospital Plainview | Plainview, TX | $10.50 | $22.05 – $43.49 |
| Providence St Joseph Medical Center | Polson, MT | $17.60 | not published |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $19.38 | $10.43 – $28.86 |
| Mercy Medical Center Merced | Merced, CA | $21.12 | $18.00 – $38.88 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $27.20 | $16.74 – $31.28 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $27.20 | $8.84 – $26.84 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $27.20 | $16.74 – $26.84 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $27.20 | $16.74 – $26.84 |
| Providence Seaside Hospital | Seaside, OR | $27.75 | not published |
| Mark Twain Medical Center | San Andreas, CA | $31.31 | $12.16 – $46.06 |
| MercyOne North Iowa Medical Center | Mason City, IA | $37.70 | $14.85 – $58.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $42.90 | $10.55 – $10.55 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $44.80 | $12.88 – $47.60 |
| Moanalua Medical Center | HONOLULU, HI | $46.50 | not published |
| cleveland clinic main campus | Cleveland, OH | $52.00 | $1.10 – $1,171.25 |
| akron general | Akron, OH | $52.00 | $1.10 – $929.71 |
| mercy hospital | Canton, OH | $52.00 | $1.10 – $1,276,448.04 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $56.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $56.00 | not published |
| Corewell Health Pennock | Hastings, MI | $62.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $62.00 | not published |
| Corewell Health Gerber | Fremont, MI | $62.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $62.00 | not published |
| Corewell Health Greenville | Greenville, MI | $62.00 | not published |
| Corewell Health Zeeland | Zeeland, MI | $62.00 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $99.06 | not published |
| Vallejo Medical Center | VALLEJO, CA | $137.76 | not published |
| Redwood City Medical Center | Redwood City, CA | $137.76 | not published |
| Oakland Medical Center | Oakland, CA | $137.76 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $137.76 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $137.76 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $137.76 | not published |