LOCAL D4355

PR FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE PERIODONTAL EVALUATION & DIAGNOSIS ON SUBSQ VISIT

National pricing summary

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Low

$83

Average

$181

Median

$195

High

$253

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Prices here combine facility and professional fees. See them separately →Experimental

Rates differ by insurer. See what each payer pays for this code →Experimental

Reflects negotiated fee schedule rates with commercial payers.

Price distribution

Fee schedule methodology

Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 6 hospitals; the 90th percentile is 2.5× 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.

Hospitals reporting LOCAL D4355

#	Hospital
1	University of Texas MD Anderson Cancer Center Houston, TX	$83	$83	$19	23%	—	$51 – $115
2	Morristown Medical Center Morristown, NJ	$244	$244	—	—	—	$244 – $244
3	Mayo Clinic Rochester, MN	$253	$253	—	—	—	$253 – $253
4	Mary Imogene Bassett Hospital Cooperstown, NY	$145	$145	—	—	—	$145 – $145
5	St Josephs Hospital Health Center Syracuse, NY	$117	$117	$1	1%	—	$116 – $118
6	Overlook Medical Center Summit, NJ	$244	$244	—	—	—	$244 – $244

Look up this code directly

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