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HCPCS D4283

Auto tissue graft addl tooth

Reported by 58 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

$99

Average

$1.1k

Median

$934

High

$5.1k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$200$5.9k$5.1k$9.3k$3.3k
2St Joseph’s Health Services IncHillsboro, WI$463$2.7k$2.4k$2.9k$741
3Gundersen Luthern Medical Center IncLa Crosse, WI$400$463$1.1k$5.6k$1.5k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$463$1.3k$1.4k$2.3k$893
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$463$2.9k$2.6k$2.9k$857
6Memorial Hospital of BoscobelBoscobel, WI$463$2.3k$2.0k$2.3k$597
7Tri-County Memorial Hospital IncWhitehall, WI$463$2.3k$2.0k$2.3k$635
8Hmh Hospitals CorporationNorth Bergen, NJ$1.5k$1.5k$1.5k$1.5k—
9Hmh Hospitals CorporationEdison, NJ$1.5k$1.5k$1.5k$1.5k—
10Hmh Hospitals CorporationHackensack, NJ$1.5k$1.5k$1.5k$1.5k—
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