Teeth cleaning, adult cost in New York, NY — inpatient
In New York-Newark-Jersey City, NY-NJ, 7 hospitals list a cash price for routine teeth cleaning (prophylaxis), adult or teen as an inpatient: from $142.64 to $300.00, with a median of $225.00. The lowest listed price is at Hmh Hospitals — $82.36 less than the median here. Across New York, the median is $152.50 at 22 hospitals.
Cash prices at 7 facilities across 4 cities for code D1110, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Apr 1, 2026.
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.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Hmh Hospitals lowest Neptune City, NJ DENTAL PROPHYLAXIS ADULT | $142.64 | $174.00 | $28.88–$174.00 | 18% | Dec 31, 2025 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Prophylaxis Adult | $225.00 | $250.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Prophylaxis Adult | $225.00 | $250.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Prophylaxis Adult | $225.00 | $250.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Prophylaxis Adult | $225.00 | $250.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Prophylaxis Adult | $225.00 | $250.00 | — | 10% | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 ADULT PROPHY | $300.00 | $300.00 | — | — | Apr 1, 2026 source file |
Inpatient: lowest $142.64, median $225.00, highest $300.00 — a 2.1× difference within the same market.
As an outpatient, the same code is billed by 24 facilities here, median $147.41 — that is the price to compare if you are not being admitted.
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.