Teeth cleaning, adult cost in Sacramento, CA
In Sacramento-Roseville-Folsom, CA, 3 hospitals list a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $96.88 to $96.88, with a median of $96.88. The lowest listed price is at Kaiser Foundation Hospital - South Sacramento and 2 other hospitals. Across California, the median is $96.88 at 22 hospitals.
Cash prices at 3 facilities across 2 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 — 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 Sacramento-Roseville-Folsom, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - South Sacramento lowest Sacramento, CA · (916) 688-2000 PROPHYLAXIS - ADULT | $96.88 | $173.00 | $156.00–$488.00 | 44% | — source file |
| Kaiser Foundation Hospital - Sacramento lowest Sacramento, CA · (916) 973-5000 PROPHYLAXIS - ADULT | $96.88 | $173.00 | $156.00–$488.00 | 44% | — source file |
| Kaiser Foundation Hospital - Roseville lowest Roseville, CA · (916) 784-4000 PROPHYLAXIS - ADULT | $96.88 | $173.00 | $156.00–$488.00 | 44% | — source file |
Outpatient: lowest $96.88, median $96.88, highest $96.88.
As an inpatient, the same code is billed by 3 facilities here, median $96.88. 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 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.