Dental CDT D1110 Inpatient — admitted to hospital

Teeth cleaning, adult cost in San Francisco, CA — inpatient

In San Francisco-Oakland-Fremont, CA, 9 hospitals list a cash price for routine teeth cleaning (prophylaxis), adult or teen as an inpatient: from $96.88 to $96.88, with a median of $96.88. The lowest listed price is at Kaiser Foundation Hospital - San Francisco and 8 other hospitals. Across California, the median is $96.88 at 22 hospitals.

Cash prices at 9 facilities across 9 cities for code D1110, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$96.88Kaiser Foundation Hospital - San Francisco + 8 more
Median$96.88half pay less
Highest$96.88in this market
Difference1.0×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 San Francisco-Oakland-Fremont, CA.

median
Lowest $96.88Highest $96.88

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 PROPHYLAXIS - ADULT $96.88 $173.00 $156.00–$488.00 44% —
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Inpatient: lowest $96.88, median $96.88, highest $96.88.

As an outpatient, the same code is billed by 9 facilities here, median $96.88 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 9 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 9 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.