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 |
|---|---|---|---|
| lutheran hospital | Cleveland, OH | not published | $789.07 – $913.66 |
| fairview hospital | Cleveland, OH | not published | $828.83 – $959.70 |
| euclid hospital | Euclid, OH | not published | $882.25 – $1,021.55 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $1,405.91 – $1,627.89 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $81.86 – $103.40 |
| avon hospital | Avon, OH | not published | $861.13 – $877.53 |
| Atrium Health Pineville | Charlotte, NC | not published | $11.10 – $26.06 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $10.57 – $11.68 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $9.65 – $11.68 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $9.65 – $11.72 |
| Atrium Health Mercy | Charlotte, NC | not published | $11.10 – $26.06 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $10.65 – $11.77 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $10.65 – $11.77 |
| Covenant Children's Hospital | Lubbock, TX | not published | $35.63 – $35.63 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $10.80 – $10.80 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $19.67 – $24.45 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $12.35 – $12.61 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $19.67 – $24.45 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $19.67 – $24.45 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $10.80 – $10.80 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $19.67 – $24.45 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $19.67 – $24.45 |
| Atrium Health Anson | Wadesboro, NC | not published | $11.10 – $26.06 |
| Berger Hospital | Circleville, OH | not published | $26.75 – $26.75 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $16.08 – $44.03 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $11.40 – $12.00 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $15.03 – $15.03 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $12.35 – $12.61 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $12.35 – $12.61 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $19.67 – $24.45 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $380.41 – $380.41 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $16.08 – $44.03 |
| Lincoln Health | Damariscotta, ME | not published | $9.64 – $22.48 |
| Stephens Memorial Hospital | Norway, ME | not published | $9.64 – $22.48 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $11.40 – $12.00 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $28.00 – $28.00 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $14.33 – $14.33 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $28.00 – $28.00 |
| Ascension Providence | Waco, TX | not published | $17.35 – $25.81 |
| North Central Bronx | Bronx, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $28.00 – $28.00 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $28.00 – $28.00 |
| Henry Ford Warren Hospital | Warren, MI | not published | $10.50 – $10.50 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $10.50 – $10.50 |
| 64-0772726 BMH North Mississippi | Oxford, MS | not published | $10.60 – $10.71 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | not published | $10.60 – $10.71 |
| Henry Ford River District Hospital | China Township, MI | not published | $10.50 – $10.50 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $1.75 – $19.00 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $2.36 – $19.00 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $32.10 – $35.63 |