Amalgam one surface permanen (CPT D2140)

D2140 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.

119 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.

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HospitalLocationPosted cashPosted grossMedicare pays× Medicare
Adventist Health Lodi Memorial Lodi, CA $15.75 $225 $852.69 0.0×
West Jefferson Medical Center Marrero, LA $26.88 $168 $606.83 0.0×
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $30.05 $111.30 $807 0.0×
Uci Health-orange Orange, CA $31.20 $78 $831.49 0.0×
Mountains Community Hospital Lake Arrowhead, CA $32.80 $82 $831.49 0.0×
Concord Hospital Concord, NH $33.90 $113 $690.29 0.0×
Concord Hospital – Laconia Laconia, NH $33.90 $113 $690.29 0.0×
Concord Hospital – Franklin Franklin, NH $33.90 $113 $690.29 0.0×
Adventist Health Sonora Sonora, CA $38.25 $225 $831.49 0.0×
Touro New Orleans, LA $40.88 $292 $606.83 0.1×
Adventist Health Reedley Reedley, CA $42.75 $225 $831.49 0.1×
Adventist Health Ukiah Valley Ukiah, CA $45 $225 $831.49 0.1×
Boston Medical Center Boston, MA $46.35 $103 $774.78 0.1×
Washington County Hospital and Nursing Home Chatom, AL $54.17 — $583.69 0.1×
Othello Community Hospital Othello, WA $54.56 $72.75 $720.41 0.1×
MetroHealth System
range across 2 matching MRF lines
Cleveland, OH $59.50–$458.85 $170–$1,311 $611.63 varies
Adventist Health Tehachapi Valley Tehachapi, CA $60.75 $225 $831.49 0.1×
OHSU Hospital and Clinics Portland, OR $63.70 $98 $725.96 0.1×
Adventist Health Howard Memorial Willits, CA $67.50 $225 $831.49 0.1×
Newark-Wayne Community Hospital Newark, NY $70.85 $109 $807 0.1×
Rochester General Hospital Rochester, NY $70.85 $109 $807 0.1×
Clifton Springs Hospital and Clinic Clifton Springs, NY $70.85 $109 $807 0.1×
University Medical Center New Orleans New Orleans, LA $71.28 $324 $585.39 0.1×
Manning Family Children's New Orleans, LA $72.63 $269 $606.83 0.1×
Magee General Hospital Magee, MS $76.34 $220 $583.69 0.1×
Mammoth Hospital Mammoth Lakes, CA $84 $120 $831.49 0.1×
Altru Hospital Grand Forks, ND $86.62 $142 $660.49 0.1×
Unity Hospital of Rochester Rochester, NY $87.20 $109 $807 0.1×
Unity Specialty Hospital Rochester, NY $87.20 $109 $807 0.1×
Bear Valley Community Hospital Big Bear Lake, CA $87.50 $125 $831.49 0.1×
Wynn Hospital Utica, NY $99 $165 $807 0.1×
Contra Costa Regional Medical Center Martinez, CA $99 $99 $912.89 0.1×
Nebraska Medical Center Omaha, NE $110.50 $170 $671.31 0.2×
Bellevue Medical Center Bellevue, NE $110.50 $170 $671.31 0.2×
Cincinnati Children's Hospital Medical Center Cincinnati, OH $115.28 $226.04 $630.01 0.2×
Plumas District Hospital Quincy, CA $129.60 $162 $831.49 0.2×
Strong Memorial Hospital
range across 2 matching MRF lines
Rochester, NY $138.55–$767.37 — $807 varies
Bayside Community Hospital Anahuac, TX $146 $146 $649.43 0.2×
Adventist Health Mendocino Coast Fort Bragg, CA $148.50 $225 $831.49 0.2×
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA $168 $300 $938.69 0.2×
Kaiser Foundation Hospital-santa Clara Santa Clara, CA $168 $300 $934.49 0.2×
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA $168 $300 $917.92 0.2×
Kaiser Foundation Hospital and Rehab Center Vallejo, CA $168 $300 $949.78 0.2×
Kaiser Foundation Hospital - Oakland/richmond Oakland, CA $168 $300 $945.70 0.2×
Kaiser Foundation Hospital - San Francisco San Francisco, CA $168 $300 $934.49 0.2×
Kaiser Foundation Hospital - Sacramento Sacramento, CA $168 $300 $917.92 0.2×
Kaiser Foundation Hospital San Rafael, CA $168 $300 $916.97 0.2×
Kaiser Foundation Hospital - Fremont Fremont, CA $168 $300 $934.49 0.2×
Kaiser Foundation Hospital - Redwood City Redwood City, CA $168 $300 $938.69 0.2×
Kaiser Foundation Hospital-san Jose San Jose, CA $168 $300 $950.89 0.2×
Kaiser Foundation Hosp So Sacramento Sacramento, CA $168 $300 $917.92 0.2×
Kaiser Foundation Hospital-santa Rosa Santa Rosa, CA $168 $300 $888.99 0.2×
Kaiser Foundation Hospital - Fresno Fresno, CA $168 $300 $831.49 0.2×
Kaiser Foundation Hospital Manteca Manteca, CA $168 $300 $905.91 0.2×
Kaiser Foundation Hospital - Antioch Antioch, CA $168 $300 $912.89 0.2×
Kaiser Foundation Hospital - Vacaville Vacaville, CA $168 $300 $949.78 0.2×
Kaiser Foundation Hospital - Roseville Roseville, CA $168 $300 $839.02 0.2×
Kaiser Foundation Hospital - San Leandro San Leandro, CA $168 $300 $934.61 0.2×
Charleston Area Medical Center Charleston, WV $179 $179 $620.15 0.3×
Lackey Memorial Hospital Forest, MS $186 $186 $583.69 0.3×
Roswell Park Comprehensive Cancer Center Buffalo, NY $200.61 $200.61 $807 0.2×
Endeavor Health Clinical Operations Evanston, IL $204 $204 $692.79 0.3×
Swedish Hospital Chicago, IL $204 $204 $692.79 0.3×
Kaleida Health Buffalo, NY $224 $224 $807 0.3×
Mount Sinai Hospital New York, NY $225 $250 $807 0.3×
Mount Sinai West New York, NY $225 $250 $807 0.3×
Mount Sinai Brooklyn Brooklyn, NY $225 $250 $807 0.3×
Children's Minnesota - Minneapolis Hospital
range across 2 matching MRF lines
Minneapolis, MN $267–$503 $267–$503 $677.09 varies
Maimonides Medical Center Brooklyn, NY $323 $323 $807 0.4×
Norwalk Hospital Norwalk, CT $346 $346 $775.02 0.4×
Highland Hospital Rochester, NY $767.37 — $807 1.0×
Valleywise Health Medical Center Phoenix, AZ $793.33 — $689.86 1.1×
Nyack Hospital Nyack, NY $807 — $807 1.0×
Montefiore St. Luke's Cornwall Newburgh, NY $807 — $807 1.0×
Cibola General Hospital Grants, NM $819.06 $1,023.82 $640 1.3×
Henry Ford Macomb Hospital Clinton Township, MI $888.94 — $644.16 1.4×
Henry Ford Hospital Detroit, MI $888.94 — $644.16 1.4×
Henry Ford Wyandotte Hospital Wyandotte, MI $888.94 — $644.16 1.4×
Henry Ford West Bloomfield Hospital West Bloomfield, MI $888.94 — $644.16 1.4×
Monroe Regional Hospital Aberdeen, MS $978.50 $978.50 $557.37 1.8×
Hilton Head Medical Center Hilton Head Island, SC $1,071.79 — $601.28 1.8×
East Cooper Medical Center Mount Pleasant, SC $1,071.79 — $601.28 1.8×
Coastal Carolina Medical Center Hardeeville, SC $1,071.79 — $601.28 1.8×
Dunes Surgical Hospital Dakota Dunes, SD $1,347.69 — $660.49 2.0×
Sioux Falls Specialty Hospital LLP Sioux Falls, SD $1,385.83 $1,847.77 $660.49 2.1×
Lakeside Medical Center Belle Glade, FL $1,668.91 — $675.11 2.5×
Our Lady of the Lake Surgical Hospital Slidell, LA $1,825.64 — $587.10 3.1×
Northwest Surgical Hospital Oklahoma City, OK $1,865.31 — $621.77 3.0×
Community Hospital, LLC Oklahoma City, OK $1,865.31 — $621.77 3.0×
University Medical Center Las Vegas, NV $1,929.30 $6,431 $706.66 2.7×
Lincoln Medical & Mental Health Center Bronx, NY $1,967.49 $279.95 $807 2.4×
Jacobi Medical Center Bronx, NY $1,967.49 $279.95 $807 2.4×
Elmhurst Hospital Center Elmhurst, NY $1,967.49 $279.95 $807 2.4×
NYC Health + Hospitals/South Brooklyn Health Brooklyn, NY $1,967.49 $279.95 $807 2.4×
Metropolitan Hospital Center New York, NY $1,967.49 $279.95 $807 2.4×
Kings County Hospital Center Brooklyn, NY $1,967.49 $279.95 $807 2.4×
Bellevue Hospital Center New York, NY $1,967.49 $279.95 $807 2.4×
Queens Hospital Center Jamaica, NY $1,967.49 $279.95 $807 2.4×
Harlem Hospital Center New York, NY $1,967.49 $279.95 $807 2.4×
Woodhull Medical & Mental Health Center Brooklyn, NY $1,967.49 $279.95 $807 2.4×
Westchester Medical Center Valhalla, NY $1,968 $1,968 $807 2.4×
Griffin Hospital Derby, CT $1,987.64 — $775.02 2.6×
Duncan Regional Hospital, Inc Duncan, OK $3,389.76 — $621.77 5.5×
Merit Health Wesley Hattiesburg, MS $5,203.93 $24,780.60 $574.14 9.1×
Merit Health Woman's Hospital Flowood, MS $11,449.27 $54,520.34 $583.69 19.6×
Stony Brook University Hospital Stony Brook, NY $12,044.13 $12,044.13 $807 14.9×
Poplar Bluff Regional Medical Center Poplar Bluff, MO $20,884.45 $99,449.74 $647.53 32.3×
MercyOne North Iowa Medical Center Mason City, IA $44,388.50 — $650.62 68.2×
Erie County Medical Center Buffalo, NY — $117 $807 —
West Carroll Memorial Hospital Oak Grove, LA — $135 $585.39 —
St. Francis Hospital, Roslyn Roslyn, NY — $170 $807 —
St. Charles Hospital Port Jefferson, NY — $170 $807 —
Mercy Medical Center Rockville Centre, NY — $170 $807 —
Good Samaritan Hospital Medical Center West Islip, NY — $170 $807 —
St. Joseph Hospital Bethpage, NY — $170 $807 —
St. Catherine of Siena Hospital Smithtown, NY — $170 $807 —
Upstate University Hospital Syracuse, NY — $193 $807 —
Anaheim Community Hospital, LLC Anaheim, CA — $731.68 $831.49 —
Jackson Memorial Hospital Miami, FL — $2,503 $675.11 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.