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CPT D4999

Unspecified periodontal proc

Reported by 26 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$168

Average

$267

Median

$243

High

$472

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$177$263$472$857$267
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$223$240$235$258$10
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$198$239$237$278$24
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$189$239$242$273$20
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$222$240$245$264$11
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$222$239$246$278$14
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$232$441$416$639$146
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$231$232$372$607$182
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$189$239$238$263$21
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$233$233$235$240$3
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