PricesAll-on-4
All-on-4 costs $8,500 to $12,000 per arch in Costa Rica versus $25,000 to $35,000 in the United States. Both arches cost $16,000 to $21,000 in Costa Rica versus $45,000 to $65,000 in the US. The implants are Nobel Biocare or Straumann the same systems used at leading US implant centers. The procedure includes IV sedation, immediate temporaries placed the same day, and a 12-month guarantee.
average savings vs US prices. Same Nobel Biocare and Straumann systems.
Pricing breakdown
| Procedure | Costa Rica | United States | You save |
|---|---|---|---|
| All-on-4 single arch (acrylic prosthetic)Most popular | $8,500 | $25,000 | 66% less |
| All-on-4 single arch (zirconia prosthetic) | $11,500 | $32,000 | 64% less |
| All-on-4 both arches (acrylic)Best value | $16,000 | $45,000 | 64% less |
| All-on-4 both arches (zirconia) | $21,000 | $60,000 | 65% less |
| All-on-6 single arch (Nobel Biocare) | $11,000 | $30,000 | 63% less |
| All-on-6 both arches | $20,000 | $55,000 | 64% less |
Starting prices from verified clinics. Final cost depends on your case complexity and materials. All verified clinics provide a written itemized quote before treatment begins.
Price transparency
Typically included
Pre-surgical consultation and CBCT scan
Extraction of all remaining teeth in the arch
Placement of 4 Nobel Biocare or Straumann implants
IV sedation with licensed anesthesiologist
Immediate temporary full-arch prosthetic (same day)
Adjustments during first visit stay
Final permanent prosthetic at second visit
12-month guarantee on implants and prosthetics
Ask about separately
Bone grafting if required (rare with All-on-4 angled placement)
Night guard (strongly recommended for grinding patients)
Second-visit travel and accommodation (4-6 months later)
Repair or replacement of prosthetic after guarantee period
What drives the price
Prosthetic material
Acrylic prosthetics cost $2,500 to $4,000 less than zirconia per arch. Acrylic lasts 7 to 10 years and can be repaired locally. Zirconia is harder, more natural-looking, and lasts 15 to 20 years but is more difficult to repair. Most patients on a budget choose acrylic for the initial restoration and upgrade to zirconia later.
Implant brand
Nobel Biocare is the standard at verified clinics for All-on-4. Straumann and Zimmer are also used at some clinics. Korean systems like OSSTEM cost $1,000 to $2,000 less per arch but are less compatible with US follow-up specialists.
IV sedation and anesthesiologist
All-on-4 requires IV sedation or general anesthesia this is included at reputable clinics. Confirm that a licensed anesthesiologist (not just a dentist administering sedation) is present throughout the procedure. This is non-negotiable for patient safety.
Number of arches
Replacing both arches in a single surgical session is significantly more cost-efficient than two separate procedures. Both arches cost 15 to 25 percent less total than two single-arch procedures booked separately.
By city
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FAQ
A Miami patient replacing a single arch with acrylic All-on-4: $8,500 procedure plus $320 flights plus $800 for 8 nights hotel totals $9,620. The same arch in Miami costs $25,000 to $30,000. Net saving after travel: $15,000 to $20,000. For both arches the math is even more compelling: $16,000 procedure plus $1,200 total travel costs versus $50,000 to $65,000 in the US.
Zirconia costs $2,500 to $4,000 more per arch but lasts significantly longer (15 to 20 years versus 7 to 10 for acrylic) and looks more natural. For patients who can afford the difference, zirconia is the better long-term investment. For patients prioritizing immediate savings, acrylic is a clinically excellent solution that can be upgraded to zirconia later when the implants are fully integrated.
Yes. The first trip (7 to 10 days) is for consultation, surgery, and immediate temporaries. You return home with a full set of functional temporary teeth. The second trip (3 to 5 days) is 4 to 6 months later for the final permanent prosthetic. Total time in Costa Rica across both visits is 10 to 15 days.
A complete quote from a verified clinic includes the CBCT scan, extraction of all remaining teeth, 4 Nobel Biocare or Straumann implants, IV sedation with licensed anesthesiologist, immediate temporary prosthetic placed same day, adjustments during your stay, and the final permanent prosthetic at your second visit. Bone grafting, when needed, may be quoted separately.
Some verified clinics partner with US-based medical financing companies like CareCredit, Alphaeon, or Proceed Finance that can be approved before you travel. This lets you finance the treatment at US lending rates while paying Costa Rica prices. Most clinics also accept credit cards with a 3 to 5 percent fee and wire transfer.