Full mouth debridement (CPT D4355)
D4355 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
142 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| McLaren Bay Region | Bay City, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Central Michigan | Mount Pleasant, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Northern Michigan | Petoskey, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Flint | Flint, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Greater Lansing | Lansing, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Lapeer Region | Lapeer, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Oakland | Pontiac, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Port Huron | Port Huron, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Macomb | Mount Clemens, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Caro Region | Caro, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| McLaren Thumb Region | Bad Axe, MI | $8.90 | $17.80 | $644.16 | 0.0× |
| Adventist Health Lodi Memorial | Lodi, CA | $20.44 | $292 | $852.69 | 0.0× |
| Concord Hospital | Concord, NH | $31.50 | $105 | $690.29 | 0.0× |
| Concord Hospital – Laconia | Laconia, NH | $31.50 | $105 | $690.29 | 0.0× |
| Concord Hospital – Franklin | Franklin, NH | $31.50 | $105 | $690.29 | 0.0× |
| Mountains Community Hospital | Lake Arrowhead, CA | $40 | $100 | $831.49 | 0.0× |
| Adventist Health Sonora | Sonora, CA | $49.64 | $292 | $831.49 | 0.1× |
| Uci Health-orange | Orange, CA | $52 | $130 | $831.49 | 0.1× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $583.69 | 0.1× |
| Adventist Health Reedley | Reedley, CA | $55.48 | $292 | $831.49 | 0.1× |
| Adventist Health Ukiah Valley | Ukiah, CA | $58.40 | $292 | $831.49 | 0.1× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $62.10 | $230 | $807 | 0.1× |
| Newark-Wayne Community Hospital | Newark, NY | $68.90 | $106 | $807 | 0.1× |
| Rochester General Hospital | Rochester, NY | $68.90 | $106 | $807 | 0.1× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $68.90 | $106 | $807 | 0.1× |
| OHSU Hospital and Clinics | Portland, OR | $69.55 | $107 | $725.96 | 0.1× |
| MetroHealth System | Cleveland, OH | $72.45 | $207 | $611.63 | 0.1× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $78.84 | $292 | $831.49 | 0.1× |
| Unity Hospital of Rochester | Rochester, NY | $84.80 | $106 | $807 | 0.1× |
| Unity Specialty Hospital | Rochester, NY | $84.80 | $106 | $807 | 0.1× |
| Adventist Health Howard Memorial | Willits, CA | $87.60 | $292 | $831.49 | 0.1× |
| Wynn Hospital | Utica, NY | $92.40 | $154 | $807 | 0.1× |
| North Sunflower Medical Center range across 2 matching MRF lines |
Ruleville, MS | $100–$200 | $200–$400 | $557.37 | varies |
| Plumas District Hospital | Quincy, CA | $103.20 | $129 | $831.49 | 0.1× |
| Contra Costa Regional Medical Center | Martinez, CA | $105 | $105 | $912.89 | 0.1× |
| Mammoth Hospital | Mammoth Lakes, CA | $105 | $150 | $831.49 | 0.1× |
| Ventura County Medical Center | Ventura, CA | $112.50 | $225 | $831.49 | 0.1× |
| Arkansas Children's Hospital | Little Rock, AR | $136.96 | $152.18 | $607.43 | 0.2× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $138.44 | $271.45 | $630.01 | 0.2× |
| Nebraska Medical Center | Omaha, NE | $139.10 | $214 | $671.31 | 0.2× |
| Bellevue Medical Center | Bellevue, NE | $139.10 | $214 | $671.31 | 0.2× |
| Bayside Community Hospital | Anahuac, TX | $175 | $175 | $649.43 | 0.3× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $192.72 | $292 | $831.49 | 0.2× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $227.80–$767.37 | — | $807 | varies |
| Charleston Area Medical Center | Charleston, WV | $229 | $229 | $620.15 | 0.4× |
| Fred Hutch Cancer Center | Seattle, WA | $247.28 | $274.75 | $750.73 | 0.3× |
| Harborview Medical Center | Seattle, WA | $283.42 | $404.88 | $748.63 | 0.4× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $284.76 | $1,054.67 | $807 | 0.4× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $325.26 | $542.10 | $650.50 | 0.5× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Regional Medical Center at Plano | Plano, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| The Heart Hospital Baylor Denton | Denton, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $325.26 | $542.10 | $649.43 | 0.5× |
| Kaleida Health | Buffalo, NY | $333 | $333 | $807 | 0.4× |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $339.05 | $521.62 | $721.28 | 0.5× |
| Touro | New Orleans, LA | $339.22 | $2,423 | $606.83 | 0.6× |
| Boston Medical Center | Boston, MA | $378.45 | $841 | $774.78 | 0.5× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $400.62 | $400.62 | $807 | 0.5× |
| Maimonides Medical Center | Brooklyn, NY | $402 | $402 | $807 | 0.5× |
| Endeavor Health Clinical Operations | Evanston, IL | $554 | $554 | $692.79 | 0.8× |
| Swedish Hospital | Chicago, IL | $554 | $554 | $692.79 | 0.8× |
| University Medical Center New Orleans | New Orleans, LA | $591.80 | $2,690 | $585.39 | 1.0× |
| Manning Family Children's | New Orleans, LA | $603.99 | $2,237 | $606.83 | 1.0× |
| Highland 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× |
| Mount Sinai Hospital | New York, NY | $990 | $1,100 | $807 | 1.2× |
| Mount Sinai West | New York, NY | $990 | $1,100 | $807 | 1.2× |
| Mount Sinai Brooklyn | Brooklyn, NY | $990 | $1,100 | $807 | 1.2× |
| Benefis Hospitals Inc | Great Falls, MT | $1,101.60 | $1,836 | $660.49 | 1.7× |
| John H Stroger Jr Hospital | Chicago, IL | $1,156.40 | $1,652 | $692.79 | 1.7× |
| Provident Hospital of Chicago | Chicago, IL | $1,156.40 | $1,652 | $692.79 | 1.7× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,347.69 | — | $660.49 | 2.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,460.36 | — | $601.28 | 2.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,460.36 | — | $601.28 | 2.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,460.36 | — | $601.28 | 2.4× |
| Jackson Memorial Hospital | Miami, FL | $1,475 | $2,019 | $675.11 | 2.2× |
| 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× |
| University Medical Center | Las Vegas, NV | $1,929.30 | $6,431 | $706.66 | 2.7× |
| UMass Memorial Medical Center | Worcester, MA | $1,939 | $1,939 | $774.78 | 2.5× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Jacobi Medical Center | Bronx, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Elmhurst Hospital Center | Elmhurst, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Metropolitan Hospital Center | New York, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Kings County Hospital Center | Brooklyn, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Bellevue Hospital Center | New York, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Queens Hospital Center | Jamaica, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Harlem Hospital Center | New York, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $1,967.49 | $417.43 | $807 | 2.4× |
| Griffin Hospital | Derby, CT | $1,987.64 | — | $775.02 | 2.6× |
| Baptist Hospital of Miami | Miami, FL | $2,312.05 | $3,557 | $675.11 | 3.4× |
| Wyckoff Heights Medical Center | Brooklyn, NY | $2,561.82 | $2,561.82 | $807 | 3.2× |
| Duncan Regional Hospital, Inc | Duncan, OK | $3,389.76 | — | $621.77 | 5.5× |
| 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× |
| Emory University Hospital | Atlanta, GA | $5,467 | $5,467 | $648.44 | 8.4× |
| Emory Decatur Hospital | Decatur, GA | $5,467 | $5,467 | $648.44 | 8.4× |
| Emory University Hospital Midtown | Atlanta, GA | $5,467 | $5,467 | $656.65 | 8.3× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $5,467 | $5,467 | $656.65 | 8.3× |
| Emory Hillandale Hospital | Lithonia, GA | $5,467 | $5,467 | $648.44 | 8.4× |
| Emory Johns Creek Hospital | Johns Creek, GA | $5,467 | $5,467 | $656.65 | 8.3× |
| Upstate University Hospital | Syracuse, NY | — | $221 | $807 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $226 | $807 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $226 | $807 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $226 | $807 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $226 | $807 | — |
| St. Joseph Hospital | Bethpage, NY | — | $226 | $807 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $226 | $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.