Teeth cleaning, adult cost in San Jose, CA — inpatient
In San Jose-Sunnyvale-Santa Clara, CA, 2 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 Jose and 1 other hospital. Across California, the median is $96.88 at 22 hospitals.
Cash prices at 2 facilities across 2 cities for code D1110, as an inpatient (admitted to hospital) . 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 San Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 PROPHYLAXIS - ADULT | $96.88 | $173.00 | $156.00–$488.00 | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 PROPHYLAXIS - ADULT | $96.88 | $173.00 | $156.00–$488.00 | 44% | — source file |
Inpatient: lowest $96.88, median $96.88, highest $96.88.
As an outpatient, the same code is billed by 2 facilities here, median $96.88 — that is the price to compare if you are not being admitted.
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 2 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.