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HCPCS D5286

REM UNILAT DENT 1 PC RESIN

Reported by 25 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$237

Average

$586

Median

$455

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$231$393$427$607$150
2Adventist Health Medical Center TehachapiTehachapi, CA$255$607$522$783$172
3Sonora Community HospitalSonora, CA$152$274$431$904$292
4Reedley Community HospitalReedley, CA$253$598$532$789$146
5Adventist Health Mendocino CoastBragg, CA$229$607$902$1.8k$663
6Lodi Memorial Hospital Association IncLodi, CA$152$155$332$867$249
7Willits Hospital IncWillits, CA$316$405$455$607$88
8Santa Rosa Hospital - Westover HillsSan Antonio, TX$237$237$237$237—
9Santa Rosa Hospital - Alamo HeightsSan Antonio, TX$237$237$237$237—
10Santa Rosa Emergency Center - AlonSan Antonio, TX$237$237$237$237—
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