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
Phoenix, AZ
See all hospitals reporting HCPCS D4285 →Price type
Phoenix Children's Hospital’s median price of $4.4k is 695% above the median hospital's median price ($554), higher than 96% 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, 2 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 all products facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 2 | Blue Cross Blue Shield exclusive network facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Jan 1, 2026
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