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HCPCS D0322

DENTAL TOMOGRAPHIC SURVEY

Reported by 7 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$256

Average

$304

Median

$320

High

$353

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$171$355$321$505$71
2Adventist Health Medical Center TehachapiTehachapi, CA$171$225$264$685$76
3Sonora Community HospitalSonora, CA$152$382$353$669$64
4Reedley Community HospitalReedley, CA$187$244$256$676$50
5Adventist Health Mendocino CoastBragg, CA$170$329$320$1.3k$66
6Lodi Memorial Hospital Association IncLodi, CA$117$289$280$642$107
7Willits Hospital IncWillits, CA$233$348$334$449$44

Look up this code directly

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