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
Stuart, FL
See all hospitals reporting HCPCS D4285 →Price type
Martin Memorial Medical Center Inc’s median price of $725 is 31% above the median hospital's median price ($554), higher than 53% 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: 2 payers, 4 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 | Aetna managed medicaid/chip behavioral health facility · case rate · outpatient | $697 | $697 | — | — | — | $697 – $697 |
| 2 | Molina florida kidcare facility · case rate · outpatient | $732 | $732 | — | — | — | $732 – $732 |
| 3 | Molina managed medicaid facility · case rate · outpatient | $732 | $732 | — | — | — | $732 – $732 |
| 4 | Aetna managed medicaid/chip facility · case rate · outpatient | $836 | $836 | — | — | — | $836 – $836 |
Last updated: Jun 15, 2026
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