Inlay composite/resin one su (CPT D2650)
D2650 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
73 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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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $583.69 | 0.1× |
| Touro | New Orleans, LA | $67.06 | $479 | $606.83 | 0.1× |
| West Jefferson Medical Center | Marrero, LA | $80.64 | $504 | $606.83 | 0.1× |
| University Medical Center New Orleans | New Orleans, LA | $117.26 | $533 | $585.39 | 0.2× |
| Manning Family Children's | New Orleans, LA | $119.61 | $443 | $606.83 | 0.2× |
| Newark-Wayne Community Hospital | Newark, NY | $131.95 | $203 | $807 | 0.2× |
| Rochester General Hospital | Rochester, NY | $131.95 | $203 | $807 | 0.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $131.95 | $203 | $807 | 0.2× |
| Unity Hospital of Rochester | Rochester, NY | $162.40 | $203 | $807 | 0.2× |
| Unity Specialty Hospital | Rochester, NY | $162.40 | $203 | $807 | 0.2× |
| MetroHealth System | Cleveland, OH | $207.90 | $594 | $611.63 | 0.3× |
| Hennepin County Medical Center | Minneapolis, MN | $393.75 | $875 | $677.09 | 0.6× |
| Wynn Hospital | Utica, NY | $421.20 | $702 | $807 | 0.5× |
| Mount Sinai Hospital | New York, NY | $450 | $500 | $807 | 0.6× |
| Mount Sinai West | New York, NY | $450 | $500 | $807 | 0.6× |
| Mount Sinai Brooklyn | Brooklyn, NY | $450 | $500 | $807 | 0.6× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $509.60 | $910 | $938.69 | 0.5× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $509.60 | $910 | $934.49 | 0.5× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $509.60 | $910 | $917.92 | 0.6× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $509.60 | $910 | $949.78 | 0.5× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $509.60 | $910 | $945.70 | 0.5× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $509.60 | $910 | $934.49 | 0.5× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $509.60 | $910 | $917.92 | 0.6× |
| Kaiser Foundation Hospital | San Rafael, CA | $509.60 | $910 | $916.97 | 0.6× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $509.60 | $910 | $934.49 | 0.5× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $509.60 | $910 | $938.69 | 0.5× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $509.60 | $910 | $950.89 | 0.5× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $509.60 | $910 | $917.92 | 0.6× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $509.60 | $910 | $888.99 | 0.6× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $509.60 | $910 | $831.49 | 0.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $509.60 | $910 | $905.91 | 0.6× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $509.60 | $910 | $912.89 | 0.6× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $509.60 | $910 | $949.78 | 0.5× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $509.60 | $910 | $839.02 | 0.6× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $509.60 | $910 | $934.61 | 0.5× |
| Bayside Community Hospital | Anahuac, TX | $762 | $762 | $649.43 | 1.2× |
| Highland Hospital | Rochester, NY | $767.37 | — | $807 | 1.0× |
| Strong Memorial 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× |
| 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× |
| 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× |
| Kaleida Health | Buffalo, NY | $1,495 | $1,495 | $807 | 1.9× |
| 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× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Jacobi Medical Center | Bronx, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Metropolitan Hospital Center | New York, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Kings County Hospital Center | Brooklyn, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Bellevue Hospital Center | New York, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Queens Hospital Center | Jamaica, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Harlem Hospital Center | New York, NY | $1,967.49 | $1,986.17 | $807 | 2.4× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,967.49 | $1,986.17 | $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× |
| Upstate University Hospital | Syracuse, NY | — | $625 | $807 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $790 | $807 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $790 | $807 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $790 | $807 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $790 | $807 | — |
| St. Joseph Hospital | Bethpage, NY | — | $790 | $807 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $790 | $807 | — |
"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.