Dental CDT D1110 Outpatient

Teeth cleaning, adult cost in Wild Rose, WI

In Wild Rose, WI, 1 hospital lists a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $267.68 to $267.68, with a median of $267.68. Across Wisconsin, the median is $267.68 at 11 hospitals.

Cash prices at 1 facility 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 —.

Lowest$267.68ThedaCare Regional Medical Center-Wild Rose
Median$267.68half pay less
Highest$267.68in 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 Wild Rose, WI.

median
Lowest $267.68Highest $275.69

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-Wild Rose lowest Wild Rose, WI · (920) 622-3257 HC Dental Prophylaxis Adult $267.68 $478.00 $129.06–$406.64 44% —
source file
ThedaCare Regional Medical Center-Wild Rose Wild Rose, WI · (920) 622-3257 HC DENTAL PROPHYLAXIS ADULT $275.69 $492.30 $129.06–$406.64 44% —
source file

Outpatient: lowest $267.68, median $267.68, highest $267.68.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is 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.