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
Dentures adjust part mandbl
Low
$1
Average
$130
Median
$84
High
$2.1k
Filter by billing methodology
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. 218 hospitals; the 90th percentile is 9.7× 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $38 | $46 | $21 | 45% | — | $28 – $85 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $42 | $41 | $10 | 23% | — | $27 – $61 |
| 5 | Adventist Health Mendocino Coast Bragg, CA | $279 | $250 | $98 | 39% | — | $118 – $354 |
| 6 | Gundersen Luthern Medical Center Inc La Crosse, WI | $123 | $120 | $6 | 5% | — | $107 – $123 |
| 7 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Spohn Hospital Beeville Beeville, TX | $60 | $60 | — | — | — | $60 – $60 |
| 9 | Spohn Hospital Alice Alice, TX | $60 | $60 | — | — | — | $60 – $60 |
| 10 | OSF Saint Francis Medical Center Peoria, IL | $34 | $34 | — | — | — | $34 – $34 |
Ask Claude or any MCP client for HCPCS D5422 pricing at a specific hospital — see how to connect.