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 | 49 | $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 |
|---|---|---|---|
| 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 |
| Queens Hospital Center | Jamaica, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $2.36 – $19.00 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $11.59 – $20.86 |
| Ocean University Medical Center | Brick, NJ | not published | $15.95 – $15.95 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $16.43 – $16.43 |
| Woodhull Medical Center | Brooklyn, NY | not published | $0.01 – $645.00 |
| Mid Coast Hospital | Brunswick, ME | not published | $9.64 – $22.48 |
| Harlem Hospital Center | New York, NY | not published | $0.01 – $645.00 |
| Waldo County General Hospital | Belfast, ME | not published | $9.64 – $22.48 |
| Spring Harbor Hospital | Westbrook, ME | not published | $13.46 – $22.48 |
| Pen Bay Medical Center | Rockport, ME | not published | $9.64 – $22.48 |
| Metropolitan Hospital Center | New York, NY | not published | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx, NY | not published | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn, NY | not published | $0.01 – $645.00 |
| Bellevue Hospital Center | NY 10016, NY | not published | $0.01 – $645.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $5.33 – $18.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $0.01 – $32.38 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $0.01 – $34.31 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | not published | $11.59 – $20.86 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $10.80 – $10.80 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $9.65 – $11.68 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $12.35 – $12.61 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $12.40 – $12.40 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $10.80 – $10.80 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $88.82 – $88.82 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $2.36 – $19.00 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | not published | $10.80 – $10.80 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $1.75 – $19.00 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $11.40 – $11.64 |