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 | 42 | $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 |
|---|---|---|---|
| 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 |
| Covenant Medical Center | Lubbock, TX | not published | $35.63 – $35.63 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $31.20 – $31.20 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $13.12 – $14.09 |
| South Brooklyn Health | Brooklyn, NY | not published | $0.01 – $645.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $12.35 – $12.61 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $11.40 – $11.64 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $11.40 – $11.64 |
| Henry Ford St John Hospital | Detroit, MI | not published | $10.50 – $10.50 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $12.35 – $12.61 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $12.35 – $12.61 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $19.67 – $24.45 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $2.36 – $19.00 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $9.64 – $22.48 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $11.40 – $11.64 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $11.40 – $11.64 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $11.40 – $12.00 |
| Franklin Memorial Hospital | Farmington, ME | not published | $9.64 – $22.48 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $11.40 – $11.64 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $15.03 – $15.03 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $40.23 – $40.23 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $64.11 – $1,193.70 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $29.71 – $29.71 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $19.83 – $19.83 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $23.12 – $23.12 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $22.77 – $22.77 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $27.04 – $27.04 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $11.40 – $11.64 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $11.40 – $11.64 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $10.20 – $43.37 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $11.40 – $11.64 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $21.60 – $22.46 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $10.20 – $43.37 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $10.20 – $43.37 |
| Jacobi Medical Center | Bronx, NY | not published | $0.01 – $645.00 |