CDT D4999
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
unspecified periodontal procedure, by report
Prices here combine facility and professional fees. See them separately →Experimental
Low
$2
Average
$344
Median
$310
High
$748
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 55 hospitals; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $235 | $301 | $109 | 36% | — | $199 – $531 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $616 | $654 | $84 | 13% | — | $576 – $770 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $300 | $239 | $92 | 39% | — | $108 – $307 |
| 4 | Fairview Health Services Minneapolis, MN | $245 | $361 | $184 | 51% | — | $231 – $815 |
| 5 | Catholic Health Initiatives Colorado West Valley City, UT | $233 | $233 | — | — | — | $233 – $233 |
| 6 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $234 | $260 | $66 | 26% | — | $234 – $459 |
| 7 | MultiCare Auburn Medical Center Auburn, WA | $595 | $643 | $323 | 50% | — | $270 – $1.1k |
| 8 | Catholic Health Initiatives Colorado West Jordan, UT | $233 | $233 | — | — | — | $233 – $233 |
| 9 | MultiCare Capital Medical Center Olympia, WA | $573 | $527 | $231 | 44% | — | $269 – $1.2k |
| 10 | Tacoma General Allenmore Hospital Tacoma, WA | $595 | $645 | $322 | 50% | — | $271 – $1.1k |
Ask Claude or any MCP client for CDT D4999 pricing at a specific hospital — see how to connect.