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 REPLACEMENT GRAFT - RETAINED NATURAL TOOTH - FIRST SITE IN
Low
$257
Average
$920
Median
$861
High
$1.6k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 4.6× 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 | Nationwide Children's Hospital Columbus, OH | $494 | $481 | $22 | 5% | — | $428 – $494 |
| 2 | Hmh Hospitals Corporation Hackensack, NJ | $1.7k | $1.6k | $452 | 29% | — | $368 – $2.0k |
| 3 | Hmh Hospitals Corporation Red Bank, NJ | $1.6k | $1.5k | $472 | 32% | — | $288 – $2.0k |
| 4 | Bellevue Medical Center Llc Bellevue, NE | $263 | $257 | $11 | 4% | — | $236 – $263 |
| 5 | Hmh Hospitals Corporation Edison, NJ | $1.6k | $1.5k | $385 | 26% | — | $440 – $1.9k |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH | $769 | $743 | $274 | 37% | — | $119 – $1.2k |
| 7 | MVHS, Inc. Utica, NY | $489 | $472 | $58 | 12% | — | $287 – $539 |
| 8 | Hmh Hospitals Corporation Manahawkin, NJ | $1.7k | $1.5k | $477 | 31% | — | $368 – $2.0k |
| 9 | Hmh Hospitals Corporation Brick, NJ | $1.6k | $1.5k | $385 | 26% | — | $440 – $1.9k |
| 10 | Hmh Hospitals Corporation Neptune City, NJ | $1.7k | $1.6k | $485 | 31% | — | $339 – $2.0k |
Ask Claude or any MCP client for HCPCS D4263 pricing at a specific hospital — see how to connect.