Auto tissue graft 1st tooth (CPT D4273)

D4273 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.

57 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
Washington County Hospital and Nursing Home Chatom, AL $54.17 — $1,400.86 0.0×
Touro New Orleans, LA $339.22 $2,423 $1,456.41 0.2×
MetroHealth System Cleveland, OH $415.80 $1,188 $1,467.92 0.3×
OHSU Hospital and Clinics Portland, OR $434.20 $668 $1,742.31 0.2×
Newark-Wayne Community Hospital Newark, NY $523.90 $806 $1,936.82 0.3×
Rochester General Hospital Rochester, NY $523.90 $806 $1,936.82 0.3×
Clifton Springs Hospital and Clinic Clifton Springs, NY $523.90 $806 $1,936.82 0.3×
Wynn Hospital Utica, NY $550.80 $918 $1,936.82 0.3×
Nebraska Medical Center Omaha, NE $585 $900 $1,611.16 0.4×
Bellevue Medical Center Bellevue, NE $585 $900 $1,611.16 0.4×
University Medical Center New Orleans New Orleans, LA $591.80 $2,690 $1,404.95 0.4×
Manning Family Children's New Orleans, LA $603.99 $2,237 $1,456.41 0.4×
Unity Hospital of Rochester Rochester, NY $644.80 $806 $1,936.82 0.3×
Unity Specialty Hospital Rochester, NY $644.80 $806 $1,936.82 0.3×
Strong Memorial Hospital
range across 2 matching MRF lines
Rochester, NY $666.40–$1,841.71 — $1,936.82 varies
Cincinnati Children's Hospital Medical Center Cincinnati, OH $789.24 $1,547.53 $1,512.05 0.5×
Community Hospital East Indianapolis, IN $792 $1,320 $1,641.59 0.5×
Boston Medical Center Boston, MA $820.35 $1,823 $1,859.49 0.4×
Bayside Community Hospital Anahuac, TX $959 $959 $1,558.65 0.6×
Charleston Area Medical Center Charleston, WV $1,116 $1,116 $1,488.37 0.7×
Jackson Memorial Hospital Miami, FL $1,475 $2,430 $1,620.29 0.9×
Lakeside Medical Center Belle Glade, FL $1,486.88 — $1,620.29 0.9×
Our Lady of the Lake Surgical Hospital Slidell, LA $1,626.52 — $1,409.04 1.2×
Hilton Head Medical Center Hilton Head Island, SC $1,629.46 — $1,443.09 1.1×
East Cooper Medical Center Mount Pleasant, SC $1,629.46 — $1,443.09 1.1×
Coastal Carolina Medical Center Hardeeville, SC $1,629.46 — $1,443.09 1.1×
Lincoln Medical & Mental Health Center Bronx, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Jacobi Medical Center Bronx, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Elmhurst Hospital Center Elmhurst, NY $1,752.89 $2,087.10 $1,936.82 0.9×
NYC Health + Hospitals/South Brooklyn Health Brooklyn, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Metropolitan Hospital Center New York, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Kings County Hospital Center Brooklyn, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Bellevue Hospital Center New York, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Queens Hospital Center Jamaica, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Harlem Hospital Center New York, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Woodhull Medical & Mental Health Center Brooklyn, NY $1,752.89 $2,087.10 $1,936.82 0.9×
Griffin Hospital Derby, CT $1,770.84 — $1,860.06 1.0×
Highland Hospital Rochester, NY $1,841.71 — $1,936.82 1.0×
Valleywise Health Medical Center Phoenix, AZ $1,904.02 — $1,655.67 1.1×
Nyack Hospital Nyack, NY $1,936.82 — $1,936.82 1.0×
Montefiore St. Luke's Cornwall Newburgh, NY $1,936.82 — $1,936.82 1.0×
Kaleida Health Buffalo, NY $1,992 $1,992 $1,936.82 1.0×
Henry Ford Macomb Hospital Clinton Township, MI $2,133.48 — $1,546 1.4×
Henry Ford Hospital Detroit, MI $2,133.48 — $1,546 1.4×
Henry Ford Wyandotte Hospital Wyandotte, MI $2,133.48 — $1,546 1.4×
Henry Ford West Bloomfield Hospital West Bloomfield, MI $2,133.48 — $1,546 1.4×
John H Stroger Jr Hospital Chicago, IL $2,774.10 $3,963 $1,662.71 1.7×
Provident Hospital of Chicago Chicago, IL $2,774.10 $3,963 $1,662.71 1.7×
Duncan Regional Hospital, Inc Duncan, OK $3,020.04 — $1,492.27 2.0×
Northwest Surgical Hospital Oklahoma City, OK $4,476.81 — $1,492.27 3.0×
Community Hospital, LLC Oklahoma City, OK $4,476.81 — $1,492.27 3.0×
St. Francis Hospital, Roslyn Roslyn, NY — $1,670 $1,936.82 —
St. Charles Hospital Port Jefferson, NY — $1,670 $1,936.82 —
Mercy Medical Center Rockville Centre, NY — $1,670 $1,936.82 —
Good Samaritan Hospital Medical Center West Islip, NY — $1,670 $1,936.82 —
St. Joseph Hospital Bethpage, NY — $1,670 $1,936.82 —
St. Catherine of Siena Hospital Smithtown, NY — $1,670 $1,936.82 —

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.