Unspecified periodontal proc (CPT D4999)
D4999 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
34 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 | — | $213.84 | 0.3× |
| Wynn Hospital | Utica, NY | $76.80 | $128 | $295.66 | 0.3× |
| Endeavor Health Clinical Operations | Evanston, IL | $165 | $165 | $253.81 | 0.7× |
| Swedish Hospital | Chicago, IL | $165 | $165 | $253.81 | 0.7× |
| Kaleida Health | Buffalo, NY | $212 | $212 | $295.66 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $233.10 | — | $247.34 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $254.99 | — | $215.09 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Bellevue Hospital Center | New York, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Harlem Hospital Center | New York, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $274.80 | $413.32 | $295.66 | 0.9× |
| Griffin Hospital | Derby, CT | $277.61 | — | $283.94 | 1.0× |
| Highland Hospital | Rochester, NY | $281.14 | — | $295.66 | 1.0× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $281.14–$345.10 | — | $295.66 | varies |
| Valleywise Health Medical Center | Phoenix, AZ | $290.65 | — | $252.74 | 1.1× |
| Nyack Hospital | Nyack, NY | $295.66 | — | $295.66 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $295.66 | — | $295.66 | 1.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $297.64 | — | $220.29 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $297.64 | — | $220.29 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $297.64 | — | $220.29 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $325.68 | — | $236 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $373.88 | — | $241.98 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $473.44 | — | $227.80 | 2.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
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.