Non-auto graft 1st tooth (CPT D4275)
D4275 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
72 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 | — | $1,400.86 | 0.0× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $342.41 | $1,119 | $1,656.71 | 0.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $482.95 | $743 | $1,936.82 | 0.2× |
| Newark-Wayne Community Hospital | Newark, NY | $484.90 | $746 | $1,936.82 | 0.3× |
| Rochester General Hospital | Rochester, NY | $484.90 | $746 | $1,936.82 | 0.3× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $497.70 | $711 | $1,491.60 | 0.3× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $497.70 | $711 | $1,491.60 | 0.3× |
| Wynn Hospital | Utica, NY | $550.80 | $918 | $1,936.82 | 0.3× |
| Unity Hospital of Rochester | Rochester, NY | $594.40 | $743 | $1,936.82 | 0.3× |
| Unity Specialty Hospital | Rochester, NY | $594.40 | $743 | $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 | $775.44 | $1,520.48 | $1,512.05 | 0.5× |
| Bayside Community Hospital | Anahuac, TX | $884 | $884 | $1,558.65 | 0.6× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $1,008 | $1,800 | $2,252.87 | 0.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $1,008 | $1,800 | $2,242.79 | 0.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $1,008 | $1,800 | $2,203.03 | 0.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $1,008 | $1,800 | $2,279.50 | 0.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $1,008 | $1,800 | $2,269.71 | 0.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $1,008 | $1,800 | $2,242.79 | 0.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $1,008 | $1,800 | $2,203.03 | 0.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $1,008 | $1,800 | $2,200.75 | 0.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $1,008 | $1,800 | $2,242.79 | 0.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $1,008 | $1,800 | $2,252.87 | 0.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $1,008 | $1,800 | $2,282.17 | 0.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $1,008 | $1,800 | $2,203.03 | 0.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $1,008 | $1,800 | $2,133.60 | 0.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $1,008 | $1,800 | $1,995.60 | 0.5× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $1,008 | $1,800 | $2,174.21 | 0.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $1,008 | $1,800 | $2,190.95 | 0.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $1,008 | $1,800 | $2,279.50 | 0.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $1,008 | $1,800 | $2,013.67 | 0.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $1,008 | $1,800 | $2,243.08 | 0.4× |
| Memorial Regional Hospital range across 6 matching MRF lines |
Hollywood, FL | $1,122.80–$3,783.50 | $1,604–$5,405 | $1,620.29 | varies |
| Memorial Hospital Pembroke range across 6 matching MRF lines |
Pembroke Pines, FL | $1,122.80–$3,783.50 | $1,604–$5,405 | $1,620.29 | varies |
| Memorial Hospital West range across 6 matching MRF lines |
Pembroke Pines, FL | $1,122.80–$3,783.50 | $1,604–$5,405 | $1,620.29 | varies |
| Memorial Hospital Miramar range across 6 matching MRF lines |
Miramar, FL | $1,122.80–$3,783.50 | $1,604–$5,405 | $1,620.29 | varies |
| 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× |
| Kaleida Health | Buffalo, NY | $1,698 | $1,698 | $1,936.82 | 0.9× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Bellevue Hospital Center | New York, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Harlem Hospital Center | New York, NY | $1,752.89 | $2,040.75 | $1,936.82 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,752.89 | $2,040.75 | $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× |
| Hilton Head Medical Center | Hilton Head Island, SC | $2,071.07 | — | $1,443.09 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $2,071.07 | — | $1,443.09 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $2,071.07 | — | $1,443.09 | 1.4× |
| 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× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $2,334.33 | — | $1,585.19 | 1.5× |
| 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× |
| Upstate University Hospital | Syracuse, NY | — | $1,285 | $1,936.82 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $1,446 | $1,936.82 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $1,446 | $1,936.82 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $1,446 | $1,936.82 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $1,446 | $1,936.82 | — |
| St. Joseph Hospital | Bethpage, NY | — | $1,446 | $1,936.82 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $1,446 | $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.