Dental CDT D1110 Outpatient

Teeth cleaning, adult cost in Rochester, NY

In Rochester, NY, 6 hospitals list a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $66.95 to $158.03, with a median of $74.68. The lowest listed price is at Rochester General Hospital and 2 other hospitals — $7.73 less than the median here. Across New York, the median is $152.50 at 22 hospitals.

Cash prices at 6 facilities across 3 cities 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$66.95Rochester General Hospital + 2 more
Median$74.68half pay less
Highest$158.03in this market
Difference2.4×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 Rochester, NY.

median
Lowest $66.95Highest $158.03

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Rochester General Hospital lowest Rochester, NY · (585) 922-4000 HC PROPHYLAXIS ADULT $66.95 $103.00 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital lowest Newark, NY · (315) 332-2022 HC PROPHYLAXIS ADULT $66.95 $103.00 — 35% Apr 1, 2026
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Clifton Springs Hospital And Clinic lowest Clifton Springs, NY · (315) 462-9561 HC PROPHYLAXIS ADULT $66.95 $103.00 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC PROPHYLAXIS ADULT $82.40 $103.00 — 20% Apr 1, 2026
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Oral Prophylaxis-Adult $123.25 — $18.33–$581.33 — —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 Dental prophylaxis adult $158.03 — $161.84–$329.20 — —
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Highland Hospital Rochester, NY · (585) 341-6711 Dental prophylaxis adult $158.03 — $157.70–$282.24 — —
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Outpatient: lowest $66.95, median $74.68, highest $158.03 — a 2.4× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $66.95. 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 2 of 2 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.