Soft tissue graft firsttooth (CPT D4277)
D4277 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
46 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× |
| MetroHealth System | Cleveland, OH | $355.60 | $1,016 | $1,467.92 | 0.2× |
| Newark-Wayne Community Hospital | Newark, NY | $468.65 | $721 | $1,936.82 | 0.2× |
| Rochester General Hospital | Rochester, NY | $468.65 | $721 | $1,936.82 | 0.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $468.65 | $721 | $1,936.82 | 0.2× |
| 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× |
| Nebraska Medical Center range across 2 matching MRF lines |
Omaha, NE | $507–$2,044.25 | $780–$3,145 | $1,611.16 | varies |
| Bellevue Medical Center range across 2 matching MRF lines |
Bellevue, NE | $507–$2,044.25 | $780–$3,145 | $1,611.16 | varies |
| Westchester Medical Center | Valhalla, NY | $536 | $536 | $1,936.82 | 0.3× |
| Unity Hospital of Rochester | Rochester, NY | $576.80 | $721 | $1,936.82 | 0.3× |
| Unity Specialty Hospital | Rochester, NY | $576.80 | $721 | $1,936.82 | 0.3× |
| Bayside Community Hospital | Anahuac, TX | $723 | $723 | $1,558.65 | 0.5× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $742.93 | $1,456.73 | $1,512.05 | 0.5× |
| Charleston Area Medical Center | Charleston, WV | $924 | $924 | $1,488.37 | 0.6× |
| 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× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Bellevue Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Harlem Hospital Center | New York, NY | $1,752.89 | — | $1,936.82 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,752.89 | — | $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× |
| Strong Memorial 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× |
| 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× |
| 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 | — | $700 | $1,936.82 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $700 | $1,936.82 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $700 | $1,936.82 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $700 | $1,936.82 | — |
| St. Joseph Hospital | Bethpage, NY | — | $700 | $1,936.82 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $700 | $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.