Surg rep root res premolar (CPT D3472)
D3472 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
61 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× |
| Newark-Wayne Community Hospital | Newark, NY | $167.70 | $258 | $807 | 0.2× |
| Rochester General Hospital | Rochester, NY | $167.70 | $258 | $807 | 0.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $167.70 | $258 | $807 | 0.2× |
| Unity Hospital of Rochester | Rochester, NY | $206.40 | $258 | $807 | 0.3× |
| Unity Specialty Hospital | Rochester, NY | $206.40 | $258 | $807 | 0.3× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $249.75 | $925 | $807 | 0.3× |
| Cedar-sinai Marina Del Rey Hospital range across 5 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $831.49 | varies |
| 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× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,347.69 | — | $660.49 | 2.0× |
| Lakeside Medical Center | Belle Glade, FL | $1,668.91 | — | $675.11 | 2.5× |
| Huntington Hospital range across 4 matching MRF lines |
Pasadena, CA | $1,730.27–$15,116.08 | $2,661.95–$23,255.50 | $831.49 | varies |
| 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 | — | $807 | 2.4× |
| Jacobi Medical Center | Bronx, NY | $1,967.49 | — | $807 | 2.4× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,967.49 | — | $807 | 2.4× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,967.49 | — | $807 | 2.4× |
| Metropolitan Hospital Center | New York, NY | $1,967.49 | — | $807 | 2.4× |
| Kings County Hospital Center | Brooklyn, NY | $1,967.49 | — | $807 | 2.4× |
| Bellevue Hospital Center | New York, NY | $1,967.49 | — | $807 | 2.4× |
| Queens Hospital Center | Jamaica, NY | $1,967.49 | — | $807 | 2.4× |
| Harlem Hospital Center | New York, NY | $1,967.49 | — | $807 | 2.4× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,967.49 | — | $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× |
| Cedars-sinai Medical Center range across 4 matching MRF lines |
Los Angeles, CA | $3,964.84–$24,184.55 | $6,099.75–$37,207 | $831.49 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $4,099.20 | $7,320 | $938.69 | 4.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $4,099.20 | $7,320 | $949.78 | 4.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $4,099.20 | $7,320 | $945.70 | 4.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $4,099.20 | $7,320 | $916.97 | 4.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $4,099.20 | $7,320 | $934.49 | 4.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $4,099.20 | $7,320 | $938.69 | 4.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $4,099.20 | $7,320 | $950.89 | 4.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $4,099.20 | $7,320 | $917.92 | 4.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $4,099.20 | $7,320 | $888.99 | 4.6× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $4,099.20 | $7,320 | $831.49 | 4.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $4,099.20 | $7,320 | $905.91 | 4.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $4,099.20 | $7,320 | $912.89 | 4.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $4,099.20 | $7,320 | $949.78 | 4.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $4,099.20 | $7,320 | $839.02 | 4.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $4,099.20 | $7,320 | $934.61 | 4.4× |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $1,300 | $807 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $1,300 | $807 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $1,300 | $807 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $1,300 | $807 | — |
| St. Joseph Hospital | Bethpage, NY | — | $1,300 | $807 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $1,300 | $807 | — |
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.