App topical fluoride varnish cost at US hospitals
APP TOPICAL FLUORIDE VARNISH · CPT 99188
$3.08
lowest cash price
$27.20
national median
$137.76
highest cash price
66
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.08–$137.76 — the variation is the story.
Median 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 | 22 | $3.08 | $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 | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| 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 | 3 | $9.18 | $11.52 | $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 | 43 | $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 |
|---|---|---|---|
| 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 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $0.01 – $645.00 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $12.35 – $12.61 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $1.75 – $19.00 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $12.35 – $12.61 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $11.40 – $12.00 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $11.40 – $11.64 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $19.06 – $19.06 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $1.75 – $19.00 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $10.43 – $40.22 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $10.20 – $43.37 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $10.50 – $2,363.43 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $11.59 – $20.86 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $11.40 – $12.00 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $15.95 – $15.95 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $2.36 – $19.00 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $12.61 – $12.61 |
| Riverview Medical Center | Red Bank, NJ | not published | $15.95 – $15.95 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $11.40 – $12.00 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $11.40 – $11.64 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $11.40 – $11.64 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $62.78 – $62.78 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $2.36 – $19.00 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $1.75 – $19.00 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $11.64 – $11.64 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $11.40 – $12.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $11.40 – $11.64 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $19.67 – $24.45 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $21.60 – $22.46 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $1.75 – $19.00 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | not published |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $1.75 – $19.00 |
| Palisades Medical Center | North Bergen, NJ | not published | $16.43 – $16.43 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $15.95 – $15.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $16.43 – $16.43 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | not published | $11.59 – $20.86 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $11.59 – $20.86 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $11.59 – $20.86 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $11.59 – $20.86 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $16.43 – $16.43 |