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HCPCS D5612

Rep resin part dent base max

Reported by 66 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

$53

Average

$387

Median

$273

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$67$67$67$67—
2Ukiah Adventist HospitalUkiah, CA$183$361$336$505$96
3Adventist Health Medical Center TehachapiTehachapi, CA$202$337$377$685$137
4Sonora Community HospitalSonora, CA$152$375$366$716$140
5Reedley Community HospitalReedley, CA$200$375$390$676$140
6Adventist Health Mendocino CoastBragg, CA$182$368$421$1.4k$283
7Lodi Memorial Hospital Association IncLodi, CA$125$241$299$687$154
8Willits Hospital IncWillits, CA$250$385$368$481$54
9St Joseph’s Health Services IncHillsboro, WI$80$458$417$503$128
10Gundersen Luthern Medical Center IncLa Crosse, WI$80$80$151$391$116
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