Dental CDT D1110 Outpatient

Teeth cleaning, adult cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 24 hospitals list a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $128.87 to $14,066.50, with a median of $147.41. The lowest listed price is at JFK University Medical Center and 1 other hospital — $18.54 less than the median here. Across New York, the median is $152.50 at 22 hospitals.

Cash prices at 24 facilities across 17 cities for code D1110, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 5, 2026.

Lowest$128.87JFK University Medical Center + 1 more
Median$147.41half pay less
Highest$14,066.50in this market
Difference109.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in New York-Newark-Jersey City, NY-NJ.

median
Lowest $128.87Highest $14,066.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
JFK University Medical Center lowest Edison, NJ · (732) 321-7000 DENTAL PROPHYLAXIS ADULT $128.87 $174.00 $37.41–$157.45 26% Dec 31, 2025
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Ocean Medical Center lowest Brick, NJ · (732) 840-2200 DENTAL PROPHYLAXIS ADULT $128.87 $174.00 $37.41–$157.45 26% Dec 31, 2025
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Bellevue Hospital Center New York, NY · (212) 561-4132 PR PROPHYLAXIS - ADULT $136.02 $192.43 $25.78 29% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR PROPHYLAXIS - ADULT $136.02 $192.43 $25.78 29% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR PROPHYLAXIS - ADULT $136.02 $192.43 $25.78 29% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY PR PROPHYLAXIS - ADULT $136.02 $192.43 $25.78 29% Sep 5, 2026
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Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 DENTAL PROPHYLAXIS ADULT $140.84 $174.00 $140.84–$9,933.00 19% Dec 31, 2025
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Ocean Medical Center Brick, NJ · (732) 840-2200 DENTAL PROPHYLAXIS ADULT $140.84 $174.00 $24.71–$169.34 19% Dec 31, 2025
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Hmh Hospitals Red Bank, NJ DENTAL PROPHYLAXIS ADULT $142.64 $174.00 $24.53–$170.43 18% Dec 31, 2025
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Bayshore Medical Center Holmdel, NJ · (732) 739-5900 DENTAL PROPHYLAXIS ADULT $142.64 $174.00 $142.64–$9,933.00 18% Dec 31, 2025
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Hmh Hospitals Neptune City, NJ DENTAL PROPHYLAXIS ADULT $142.64 $174.00 $28.88–$174.00 18% Dec 31, 2025
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JFK University Medical Center Edison, NJ · (732) 321-7000 DENTAL PROPHYLAXIS ADULT $142.76 $174.00 $28.01–$164.60 18% Dec 31, 2025
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Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 DENTAL PROPHYLAXIS ADULT $142.76 $174.00 $142.76–$9,933.00 18% Dec 31, 2025
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Hmh Hospitals Old Bridge, NJ DENTAL PROPHYLAXIS ADULT $142.76 $174.00 $142.76–$9,933.00 18% Dec 31, 2025
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 PROPHYLAXIS - ADULT $143.05 $143.05 $132.30–$926.00 — —
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Palisades Medical Center North Bergen, NJ · (201) 854-5000 DENTAL PROPHYLAXIS ADULT $151.77 $174.00 $29.75–$162.60 13% Dec 31, 2025
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Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 DENTAL PROPHYLAXIS ADULT $151.77 $174.00 $31.32–$169.68 13% Dec 31, 2025
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New York City Health and Hospitals Jamaica, NY HC PROPHYLAXIS-ADULT $152.50 $176.85 $83.78–$249.29 14% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC PROPHYLAXIS-ADULT $152.50 $176.85 $44.86–$332.00 14% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC PROPHYLAXIS-ADULT $152.50 $176.85 $44.86–$332.00 14% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC PROPHYLAXIS-ADULT $152.50 $176.85 $83.86–$249.29 14% Sep 5, 2026
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Metropolitan Hospital Center New York, NY · (212) 423-6262 HC PROPHYLAXIS-ADULT $152.50 $176.85 $70.15–$249.29 14% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PROPHYLAXIS-ADULT $152.50 $176.85 $44.86–$332.00 14% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PROPHYLAXIS-ADULT $152.50 $176.85 $73.53–$249.29 14% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PROPHYLAXIS-ADULT $152.50 $176.85 $69.35–$249.29 14% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PROPHYLAXIS-ADULT $152.50 $176.85 $87.28–$249.29 14% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PROPHYLAXIS-ADULT $152.50 $176.85 $88.98–$249.29 14% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PROPHYLAXIS-ADULT $152.50 $176.85 $44.86–$332.00 14% Sep 5, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Prophylaxis Adult $225.00 $250.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Prophylaxis Adult $225.00 $250.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Prophylaxis Adult $225.00 $250.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC Prophylaxis Adult $225.00 $250.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Prophylaxis Adult $225.00 $250.00 — 10% Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 ADULT PROPHY $300.00 $300.00 — — Apr 1, 2026
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 PROPHYLAXIS - ADULT $14,066.50 $14,066.50 $165.38–$33,455.00 — —
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Outpatient: lowest $128.87, median $147.41, highest $14,066.50 — a 109.2× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $225.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 15 of 18 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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.