Dental CDT D1110 Wisconsin Outpatient

Teeth cleaning, adult cost in Wisconsin

In Wisconsin, 11 hospitals publish a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $73.15 to $267.68, with a median of $267.68. The lowest price is at Children's Hospital of Wisconsin (Milwaukee). The highest price is 3.7× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code D1110. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$73.15Children's Hospital of Wisconsin
Median$267.68half pay less
Highest$267.68in Wisconsin
Lowest saves$194.53vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash price List priceFile date
Children's Hospital of Wisconsin lowest Milwaukee · Milwaukee-Waukesha, WI PR DENTAL PROPHYLAXIS ADULT $73.15 $133.00 Mar 23, 2026
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ThedaCare Regional Medical Center-Berlin Berlin · Berlin, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Appleton Fond Du Lac · Fond du Lac, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Appleton Oshkosh · Oshkosh-Neenah, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Neenah Neenah · Oshkosh-Neenah, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-New London New London · New London, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Shawano Shawano · Shawano, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Waupaca Waupaca · Waupaca, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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ThedaCare Regional Medical Center-Wild Rose Wild Rose · Wild Rose, WI HC Dental Prophylaxis Adult $267.68 $478.00 —
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Appleton, WI 2 $267.68 $267.68
Oshkosh-Neenah, WI 2 $267.68 $267.68
Berlin, WI 1 $267.68 $267.68
Fond du Lac, WI 1 $267.68 $267.68
Milwaukee-Waukesha, WI 1 $73.15 $73.15
New London, WI 1 $267.68 $267.68
Shawano, WI 1 $267.68 $267.68
Waupaca, WI 1 $267.68 $267.68
Wild Rose, WI 1 $267.68 $267.68

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.

Routine teeth cleaning (prophylaxis), adult or teen in other states

Median cash price across the state's hospitals.