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 |
|---|---|---|---|
| San Rafael Medical Center | SAN RAFAEL, CA | $137.76 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $137.76 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $137.76 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $137.76 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $137.76 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $137.76 | not published |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $441.00 | $30.00 – $165.04 |
| Kadlec Regional Medical Center | Richland, WA | not published | $17.21 – $17.21 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $10.20 – $43.37 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $11.40 – $11.64 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $11.40 – $11.64 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $11.64 – $11.64 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $11.40 – $11.64 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $10.20 – $43.37 |
| Covenant Hospital Levelland | Levelland, TX | not published | $24.98 – $43.49 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $11.40 – $12.00 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $2.36 – $19.00 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $12.35 – $12.61 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $19.67 – $24.45 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $1.75 – $19.00 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $11.40 – $12.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $11.40 – $12.00 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $137.85 – $140.76 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $15.03 – $15.03 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $11.10 – $26.06 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $11.59 – $20.86 |
| Atrium Health University City | Charlotte, NC | not published | $11.10 – $26.06 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $2.36 – $19.00 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $11.10 – $26.06 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $5.33 – $17.20 |
| south pointe hospital | Warrensville Heights, OH | not published | $919.27 – $1,064.42 |
| medina hospital | Medina, OH | not published | $808.14 – $935.74 |
| indian river hospital | Vero Beach, FL | not published | $81.86 – $103.40 |
| Atrium Health Union | Monroe, NC | not published | $11.10 – $26.06 |
| marymount hospital | Garfield Heights, OH | not published | $779.11 – $902.13 |
| martin north hospital | Stuart, FL | not published | $86.17 – $103.40 |
| lodi hospital | Lodi, OH | not published | $1,347.15 – $1,559.86 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $11.10 – $26.06 |
| Atrium Health Cabarrus | Concord, NC | not published | $11.10 – $26.06 |
| Atrium Health Cleveland | Shelby, NC | not published | $11.10 – $26.06 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $26.06 – $29.96 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $10.80 – $10.80 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $14.33 – $14.33 |
| Adventhealth Central Texas | Killeen, TX | not published | $40.23 – $40.23 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $10.43 – $40.22 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $11.40 – $11.64 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $10.20 – $43.37 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $10.20 – $43.37 |
| hillcrest hospital | Mayfield Heights, OH | not published | $863.50 – $999.85 |
| Atrium Health Stanly | Albermarle, NC | not published | $11.10 – $29.96 |