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
NON-AUTO GRAFT ADDL TOOTH
Duncan, OK
See all hospitals reporting HCPCS D4285 →Price type
Duncan Regional Hospital’s median price of $554 is about the same as the median hospital's median price ($554), higher than 49% of the 165 hospitals reporting HCPCS D4285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue advantage hmo case rate · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 2 | Blue Cross Blue Shield blue lincs hmo case rate · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 3 | Blue Cross Blue Shield blue preferred case rate · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 4 | Blue Cross Blue Shield blue choice ppo case rate · outpatient | $719 | $719 | — | — | — | $719 – $719 |
| 5 | Blue Cross Blue Shield blue traditional ppo case rate · outpatient | $826 | $826 | — | — | — | $826 – $826 |
Last updated: Mar 14, 2026
See Non-automatic additional tooth graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.