Teeth cleaning, adult cost in Salt Lake City, UT — inpatient
In Salt Lake City-Murray, UT, 1 hospital lists a cash price for routine teeth cleaning (prophylaxis), adult or teen as an inpatient: from $165.54 to $165.54, with a median of $165.54.
Cash prices at 1 facility for code D1110, as an inpatient (admitted to hospital) . Collected Sep 25, 2026; the hospital files themselves were last updated between — and —.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| University of Utah Hospital and Clinics Salt Lake City, UT · (801) 581-2121 Prophylaxis Adult | $165.54 | $236.48 | $52.00 | 30% | — source file |
Inpatient: lowest $165.54, median $165.54, highest $165.54.
As an outpatient, the same code is billed by 1 facility here, median $165.54 — 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 not 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.