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HCPCS D4285

HB NON-AUTOGENOUS CT GRAFT, EACH ADD CONTIGUOUS TOOTH, IMPLANT, EDENTULOUS TOOTH POSITION IN GRAFT

Reported by 60 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

$85

Average

$1.1k

Median

$1.2k

High

$5.1k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$123$469$473$654$143
2University of Iowa Health Care Medical CenterIowa City, IA$178$476$474$654$136
3The Mount Sinai HospitalNew York, NY$300$5.9k$5.1k$9.3k$3.2k
4St Joseph’s Health Services IncHillsboro, WI$486$2.8k$2.5k$3.1k$778
5Gundersen Luthern Medical Center IncLa Crosse, WI$486$486$1.2k$5.6k$1.5k
6Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$486$1.8k$1.9k$3.5k$1.4k
7Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$486$3.1k$2.7k$3.1k$899
8Memorial Hospital of BoscobelBoscobel, WI$486$2.4k$2.1k$2.4k$627
9Tri-County Memorial Hospital IncWhitehall, WI$486$2.4k$2.1k$2.4k$666
10Hmh Hospitals CorporationNorth Bergen, NJ$1.2k$1.2k$1.2k$1.2k—
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