Teeth cleaning, adult cost in Fond du Lac, WI
In Fond du Lac, WI, 1 hospital lists a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $267.68 to $267.68, with a median of $267.68. Across Wisconsin, the median is $267.68 at 11 hospitals.
Cash prices at 1 facility for code D1110, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Fond du Lac, WI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| ThedaCare Regional Medical Center-Appleton lowest Fond Du Lac, WI HC Dental Prophylaxis Adult | $267.68 | $478.00 | $143.40–$362.33 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Fond Du Lac, WI HC DENTAL PROPHYLAXIS ADULT | $275.69 | $492.30 | $143.40–$362.33 | 44% | — source file |
Outpatient: lowest $267.68, median $267.68, highest $267.68.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is a routine preventive teeth cleaning that removes plaque, tartar and stains from the teeth, usually done once or twice a year. It is for people with healthy gums or mild gum inflammation.
What the price covers
The fee covers the cleaning and polishing. The dental exam, X-rays and fluoride treatment are billed under their own codes.