How much did you pay if I may ask? It was € 428 a few months back in a Dutch hospital (under a system many people do not like, but I mostly do) with another € 30 for the dentist checking and referring. That’s an all-in price.
Does all-in mean all four wisdom teeth? Because I paid somewhere over $2000 out of pocket a few years back in San Francisco. And that was after insurance.
It was for four teeth and with all-in I ment I had to pay for it out of pocket (first few hundred euro are at my own risk) and it (should) cover the whole price. No hidden subsidies. The insurer just billed me the full price they bargained for.
How weird - a few years ago I paid about 250 EUR in a dental clinic in Rotterdam to remove a single wisdom tooth. I did pay in cash (no health insurance coverage as I emigrated already).
I expect yours was pulled by a dentist and mine by a dental surgeon.
The tariffs of dentists do not follow the same pricing as those of surgeons in NL. The former is a mandated maximum based on cost price plus, the latter based on bargaining between hospital and insurer. Given the attention of private equity for the Dutch dentists I would expect the dentist to be more expensive although the team and capital requirements of the dental surgeon are probably larger.
I paid £200 all-in for an initial check-up, and then a second appointment where a single tooth was removed here in the UK (this was a non-NHS dentist). I imagine they’d have charged more to remove 4 teeth, but not 4x more.