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
Bone graft peri per tooth
Low
$114
Average
$1.8k
Median
$1.6k
High
$22.3k
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Prices here combine facility and professional fees. See them separately →Experimental
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. 449 hospitals; the 90th percentile is 3.9× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $640 | $1.1k | $1.1k | 101% | — | $226 – $4.1k |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $143 | $1.8k | $3.3k | 184% | — | $124 – $9.0k |
| 3 | Kadlec Regional Medical Center Richland, WA | $864 | $1.2k | $618 | 50% | — | $720 – $2.5k |
| 4 | Hca Healthone Northeast Er THORNTON, CO | $1.4k | $1.4k | $27 | 2% | — | $1.4k – $1.4k |
| 5 | Houston Methodist Baytown Hospital Baytown, TX | $705 | $1.9k | $2.5k | 128% | — | $649 – $7.5k |
| 6 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $681 | $738 | $220 | 30% | — | $655 – $1.6k |
| 7 | Yuma Regional Medical Center Yuma, AZ | $1.8k | $1.4k | $510 | 36% | — | $690 – $1.8k |
| 8 | Wellstar Kennestone Hospital Marietta, GA | $1.2k | $1.6k | $1.3k | 82% | — | $657 – $5.1k |
| 9 | Baptist Medical Center of the Beaches, INC Beach, FL | $1.7k | $1.8k | $830 | 47% | — | $180 – $4.0k |
| 10 | Westfield Memorial Hospital Inc WESTFIELD, NY | $2.0k | $1.5k | $1.1k | 73% | — | $121 – $3.8k |
Ask Claude or any MCP client for HCPCS D3428 pricing at a specific hospital — see how to connect.